Provider Demographics
NPI:1659895613
Name:PALOMA, ALLAN GARCIA (RDCS)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:GARCIA
Last Name:PALOMA
Suffix:
Gender:M
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6048 MOORES AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-4730
Mailing Address - Country:US
Mailing Address - Phone:650-474-9604
Mailing Address - Fax:
Practice Address - Street 1:328 CREST AVE
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-2641
Practice Address - Country:US
Practice Address - Phone:650-743-8256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist