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MRS. KATHLEEN EMILIE GALLAHER M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1114034808

Individual Registrant:
MRS. KATHLEEN EMILIE GALLAHER M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
17871 SANTIAGO BLVD SUITE 206 FIRST FLOOR VILLA PARK, CA 92861-4141 US
Tel: 714-974-1362  Fax: 714-974-3145

Contact information for business:
17871 SANTIAGO BLVD SUITE 206 FIRST FLOOR VILLA PARK, CA 92861-4141 US
Tel: 714-974-1362  Fax: 714-974-3145

Registration Information:
NPI: 1114034808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA40219

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEAAG263691001
RAILROAD MEDICAREP00004108CA01
CLIA05D101007301




HEALTH CARE JOBS CA - Page 1



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