Provider Demographics
NPI:1720451958
Name:DR. XOCHITL PALOMINO ND, LLC
Entity Type:Organization
Organization Name:DR. XOCHITL PALOMINO ND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUOPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:XOCHITL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMINO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:657-214-0741
Mailing Address - Street 1:1214 1/2 N 49TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6633
Mailing Address - Country:US
Mailing Address - Phone:657-214-0741
Mailing Address - Fax:
Practice Address - Street 1:620 SE EVERETT MALL WAY
Practice Address - Street 2:SUITE 210B
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3278
Practice Address - Country:US
Practice Address - Phone:425-609-7858
Practice Address - Fax:425-609-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60184731175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty