Richie Victor Gallegos, CRNA
Nurse Anesthetist, Certified Registered in Duarte, CA. Individual provider (NPI-1).
NPI number1104451186
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1104451186
- Entity type
- Individual (NPI-1)
- Name
- Richie Victor Gallegos
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA95001361 | CA | Yes |
Practice location
1500 Duarte RdDuarte, CA 91010-3012
Phone 626-256-4673
Mailing address
Po Box 512185Los Angeles, CA 90051-0185
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All 17 Certified Registered Nurse Anesthetist providers in Duarte · All 1,451 providers in Duarte
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