Provider Demographics
NPI:1851161319
Name:PALOMO, KARLA SAMANTHA (NP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:SAMANTHA
Last Name:PALOMO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 W DUARTE RD STE 305
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9229
Mailing Address - Country:US
Mailing Address - Phone:626-446-4659
Mailing Address - Fax:
Practice Address - Street 1:612 W DUARTE RD STE 305
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9229
Practice Address - Country:US
Practice Address - Phone:466-446-4659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine