Spencer Palache
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Fernando, CA
NPI 1639711658 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1639711658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 919 1St St
San Fernando, CA 91340-2957 - Phone
- (818) 256-1124
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
919 1St St
San Fernando, CA 91340-2957
Mailing address
919 1St St
San Fernando, CA 91340-2957
Phone (818) 256-1124
Other providers in San Fernando, CA
- Clifford K Oyama
- Randi Oyama
- Pacific City Group, Inc.
- Yvette Marie Padilla I
- Gokuldas M Pai
- Dave Palafox-Velarde
- Christine Palencia
- Christine Lim-Fun Chan Park
- Rosio Parra
- Hafiz Ulrehman Parray
All providers in San Fernando, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.