Provider Demographics
NPI:1265557086
Name:PALLAZIOL, DELIA NOEMI (MD)
Entity type:Individual
Prefix:DR
First Name:DELIA
Middle Name:NOEMI
Last Name:PALLAZIOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 MAR VISTA DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-7657
Mailing Address - Country:US
Mailing Address - Phone:760-489-1155
Mailing Address - Fax:
Practice Address - Street 1:1925 W VISTA WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6020
Practice Address - Country:US
Practice Address - Phone:760-489-1155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39123208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice