| Richard C Palmer Md A Medical Corporation | |
|
23430 Hawthorne Blvd Ste 220 Torrance CA 90505-4758 | |
| (310) 373-6691 | |
| (310) 791-3735 |
| Full Name | Richard C Palmer Md A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23430 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | Richard C Palmer (PRESIDENT) |
| Authorized Official Contact | 3103736691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Palmer Md A Medical Corporation 23430 Hawthorne Blvd Ste 220 Torrance CA 90505-4758 Ph: (310) 373-6691 | Richard C Palmer Md A Medical Corporation 23430 Hawthorne Blvd Ste 220 Torrance CA 90505-4758 Ph: (310) 373-6691 |
| NPI Number | 1972568111 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 4981784014 |
|---|---|
| Medicare Enrollment ID | O20080102000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972568111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C33603 (California) | Primary |
| Provider Name | Richard Cletus Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881873081 PECOS PAC ID: 1456431584 Enrollment ID: I20080102000401 |
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