Palacios, Jorge L

Palacios, Jorge L is an sole proprietor health care provider with primary practice located at 400 W. Mineral , Visalia CA 93291-6237. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Palacios, Jorge L can be contacted via phone (559) 624-2000.

Contact Information

Primary practice address
400 W. Mineral Visalia CA 93291-6237
Phone: (559) 624-2000
Fax: (559) 741-4896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A69353 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X A69353 California

Profile Details

NPI number 1407806417
LBN Legal business name Palacios, Jorge L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Feb 9th, 2009 - about 15 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 1407806417 NPPES
California Other 00A693530 BS OF CA
California MEDICAID 00A693530 BS OF CA
California Other 050089642 BS OF CA

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