Miguel Fernando Palma Diaz, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1861663072
StatusActive
Last updated in NPPESNov 22, 2021
Details
- NPI
- 1861663072
- Entity type
- Individual (NPI-1)
- Name
- Miguel Fernando Palma Diaz
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2008
- Last updated
- Nov 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | A116744 | CA | Yes |
Practice location
10833 Le Conte AveSuite B-186 Chs
Los Angeles, CA 90095-3075
Phone 310-794-7953
Mailing address
5767 W Century BlvdSuite 400
Los Angeles, CA 90045-5631
Phone 310-825-5000
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