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Marykarla Gallegos

Student in an Organized Health Care Education/Training Program in North Hollywood, CA. Individual provider (NPI-1).

NPI number1417469875
StatusActive
Last updated in NPPESSep 3, 2026

Details

NPI
1417469875
Entity type
Individual (NPI-1)
Name
Marykarla Gallegos
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2017
Certification date
Sep 3, 2026
Last updated
Sep 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-1576

Phone 818-755-8786

Mailing address

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-1576

Phone 818-755-8786

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