Paul Anthony Gallegos, B.S.W.
Rehabilitation Practitioner in Gardena, CA. Individual provider (NPI-1).
NPI number1649508169
StatusActive
Last updated in NPPESOct 3, 2013
Details
- NPI
- 1649508169
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Anthony Gallegos
- Credential
- B.S.W.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2009
- Last updated
- Oct 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Other names
- Paul Anthony Gallegos (Other Name)
Practice location
130 W Victoria StGardena, CA 90248-3523
Phone 562-754-1546
Mailing address
130 W Victoria StGardena, CA 90248-3523
Phone 562-754-1546
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