Lao, Mariclem Palado

Lao, Mariclem Palado is an individual health care provider with primary practice located at 1700 North Waterman Avenue , San Bernardino CA 92404-5105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lao, Mariclem Palado can be contacted via phone (909) 883-8611.

Contact Information

Primary practice address
1700 North Waterman Avenue San Bernardino CA 92404-5105
Phone: (909) 883-8611
Fax: (909) 886-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A53653 California

Profile Details

NPI number 1487624169
LBN Legal business name Lao, Mariclem Palado
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487624169 NPPES
California MEDICAID 00A536530

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