MATTHEW THOMAS PALM DO
NPI 1205577434
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 03, 2022
1100 N STATE ST # A6E, LOS ANGELES, CA 90033(323) 409-4048 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Thomas Palm Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW THOMAS PALM DO (NPI 1205577434) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1205577434
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW THOMAS PALMCredential: DO
Location Address1100 N STATE ST # A6ELos Angeles, CA 90033-5000
Mailing Address1100 N State St # A6eLos Angeles, CA 90033-5000
Sole ProprietorNo
Enumeration DateApril 3, 2022
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
NPI 1205577434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.079536 (IL)
1100 N STATE ST # A6E, Los Angeles, CA 90033

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205577434, enumerated as an "individual" on April 03, 2022.

The provider is located at 1100 N STATE ST # A6E LOS ANGELES, CA 90033 and the phone number is (323) 409-4048.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.