Andre V Gallardo in Huntington Beach - Physician Assistant

Andre V Gallardo - NPI 1871708859

Andre V Gallardo is a Physician Assistant in Huntington Beach, California. Andre V Gallardo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andre V Gallardo is 1871708859. The last update date is 2018-03-23.

Andre V Gallardo's current location address is 5551 Mossvale Cir, Huntington Beach, California. You can contact this provider via phone number 7142069884 and fax number 7149082211. The mailing address for Andre V Gallardo is 5551 Mossvale Cir, Huntington Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Andre V Gallardo
Address 5551 Mossvale Cir, Huntington Beach, California
Phone Number 7142069884
Fax Number 7149082211
Sole Proprietor N
Credentials OTR, PA

NPI Number Detail

NPI Number 1871708859
Provider Enumeration Date 2007-05-11
Last Updated Date 2018-03-23

Provider Mailing Address Detail

Address 5551 Mossvale Cir
City Huntington Beach
State California (CA)
Post Code 926494824
Phone Number 7142069884
Fax Number 7149082211

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 19169
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19169 CA PHYSICIAN'S ASSISTANT
OT 4374 CA OCCUPATIONAL THERAPIST

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FAQs about Andre V Gallardo

What is the unique identification code assigned to Andre V Gallardo by the Centers for Medicare & Medicaid Services?

The Andre V Gallardo has been issued the NPI (National Provider Identifier) 1871708859. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Andre V Gallardo is physically located?

The Andre V Gallardo is situated at the following address: 5551 Mossvale Cir, Huntington Beach, CA 926494824.

What is the Andre V Gallardo's specialty and taxonomy code?

The Andre V Gallardo's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Andre V Gallardo receive its 1871708859 assignment from the Centers for Medicare & Medicaid Services?

The Andre V Gallardo was assigned its 1871708859 by the Centers for Medicare & Medicaid Services on 2007-05-11.

As of what date was the information pertaining to Andre V Gallardo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andre V Gallardo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-23.

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