DORA PALACIO (NPI# 1063739910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063739910 |
| Entity Type | Individual |
| Full Name | DORA PALACIO |
| Practice Address |
17707 Studebaker Rd Rio Hondo Mental Health Center Cerritos CA 90703-2640 |
| Mailing Address |
17707 Studebaker Road Rio Hondo Mental Health Center Cerritos CA 90703 |
| Practice Telephone | 5624020688 |
| Practice Fax Number | 5624023032 |
| Mailing Telephone | 5624020688 |
| Mailing Fax Number | 5624023032 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
375813 | CA | Nursing Service Providers |
| Street Address |
17707 STUDEBAKER RD RIO HONDO MENTAL HEALTH CENTER |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841208329 | Los Angeles County Department of Mental Health | Clinic/Center | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2006-08-03 |
| 1831702109 | Luis F Revelo | Social Worker | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2020-08-26 |
| 1952959348 | Darrilyn Billew Demouchet | Psychiatry & Neurology | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-08-28 |
| 1447717772 | Erika Torres Abdul-wahed | Community Health Worker | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-02-22 |
| 1376009480 | Quy Pham | Student in an Organized Health Care Education/Training Program | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-02-13 |
| 1457816183 | Espelito Cereno Torregoza Jr. | Student in an Organized Health Care Education/Training Program | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-02-06 |
| 1073025391 | Christina Marangos | Case Manager/Care Coordinator | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2017-10-26 |
| 1588192926 | Jeffrey Rodriguez | Case Manager/Care Coordinator | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2017-05-30 |
| 1902346307 | Jennifer Nunez | Counselor | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2017-03-03 |
| 1831633536 | Jazmin Navarro | Counselor | 17707 Studebaker Rd, 208, Cerritos, CA 90703-2640 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1902389240 | Kristeen Candelaria | Registered Nurse | 18946 Vickie Ave Apt 248, Cerritos, CA 90703-6250 | 2018-09-12 |
| 1558995860 | Lam Duy Nguyen | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2020-02-25 |
| 1285279232 | Daniel Steven Visda | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-11-14 |
| 1417598921 | Shayna Renae Le Flore | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-10-05 |
| 1891336376 | Robert Woolsey | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1579 | 2019-10-04 |
| 1518518893 | Eden Ross Dantes | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-09-27 |
| 1861043846 | Cecilia Manlimos | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1579 | 2019-09-22 |
| 1598315939 | Melessia Marie Partis | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-09-18 |
| 1437709862 | Jayseph Neri | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-09-17 |
| Find all providers in CERRITOS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.