Provider Demographics
NPI:1962782896
Name:DAVE, PALAK (MD)
Entity type:Individual
Prefix:DR
First Name:PALAK
Middle Name:
Last Name:DAVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10800 MAGNOLIA AVE
Mailing Address - Street 2:RIVERSIDE CONTINUING CARE DEPARTMENT
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3043
Mailing Address - Country:US
Mailing Address - Phone:951-602-4230
Mailing Address - Fax:951-602-4239
Practice Address - Street 1:10800 MAGNOLIA AVE
Practice Address - Street 2:RIVERSIDE CONTINUING CARE DEPARTMENT
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3043
Practice Address - Country:US
Practice Address - Phone:951-602-4230
Practice Address - Fax:951-602-4239
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2021-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA118057207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine