Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO02636 | |
N | 222Z00000X | Podiatrist | CPO02636 | |
Y | 224P00000X | Prosthetist | CPO02636 | CA |
NPI | 1255619318 |
---|---|
Provider Name | Daniel P Galan |
First Address | Riverside, CA 92507-6814 |
Second Address | Riverside, CA 92507-6814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2011 |
Last Update Date | 23/07/2011 |