Individual provider · Type 1 NPI

Vivienne N. Palmer, PA-C

Surgical Physician Assistant · La Jolla, CA

NPI number 1457788663 Active

Practice location

9898 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

10790 Rancho Bernardo Rd, Mail Drop 4S-205
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X52309 (CA)
Surgical Physician Assistant Primary 363AS0400X52309 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1457788663

Vivienne N. Palmer, PA-C's National Provider Identifier is 1457788663, issued on Oct 2, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Jolla, CA. The record was last updated on Oct 3, 2021.