John Gallo is a Family Medicine in Fort Bragg, California. John Gallo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Gallo is 1225049257. The last update date is 2012-10-16.
John Gallo's current location address is 721 River Dr, Fort Bragg, California. You can contact this provider via phone number 7079614631 and fax number 7079641192. The mailing address for John Gallo is 721 River Dr, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gallo |
|---|---|
| Address | 721 River Dr, Fort Bragg, California |
| Phone Number | 7079614631 |
| Fax Number | 7079641192 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225049257 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2012-10-16 |
Provider Mailing Address Detail
| Address | 721 River Dr |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 95437 |
| Phone Number | 7079614631 |
| Fax Number | 7079641192 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | C36010 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C360100 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique identifier code issued to John Gallo by the Centers for Medicare & Medicaid Services?
The John Gallo has been assigned the NPI (National Provider Identifier) 1225049257. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John Gallo is physically located?
The John Gallo is physically situated at the following address: 721 River Dr, Fort Bragg, CA, 95437.
What is John Gallo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Gallo's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225049257 to John Gallo?
The Centers for Medicare & Medicaid Services originally issued the 1225049257 to John Gallo on 2006-08-11.
When was the information related to John Gallo most recently updated or refreshed?
The details pertaining to the John Gallo, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-16.
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA