Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 886 | CA |
NPI | 1144754839 |
---|---|
Provider Name | Dr. Galina E Mahlis |
First Address | Rancho Palos Verdes, CA 90275-5464 |
Second Address | Rancho Palos Verdes, CA 90275-5464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2017 |
Last Update Date | 19/04/2017 |