Regina Pally in Los Angeles - Prescribing (medical)
Regina Pally - NPI 1053531400
Regina Pally is a Prescribing (medical) in Los Angeles, California. Regina Pally practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Regina Pally is 1053531400. The last update date is 2007-07-08.
Regina Pally's current location address is 11980 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3108202700. The mailing address for Regina Pally is 11980 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina Pally |
|---|---|
| Address | 11980 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3108202700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053531400 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11980 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900495012 |
| Phone Number | 3108202700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | G28298 |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G28298 | CA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the Regina Pally's unique identification number?
The Regina Pally has been assigned the NPI (National Provider Identifier) Number 1053531400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Regina Pally's physical address?
The Regina Pally is physically located at 11980 San Vicente Blvd, in the city of Los Angeles, CA, with the postal code 900495012.
What is Regina Pally's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Regina Pally's specialized field of practice is Prescribing (medical), and the corresponding taxonomy code that categorizes this area of specialization is 103Tp0016X.
When did Regina Pally receive its 1053531400 assignment?
The Regina Pally was assigned its 1053531400 on 2007-04-26, which is the date when this unique identifier was issued to the organization.
When was the Regina Pally's information last updated?
The Regina Pally's information was last updated on 2007-07-08.