Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A43628 | CA |
N | 208600000X | Surgeon | A43628 | CA |
N | 2086S0105X | Surgery of the Hand | 231 | CA |
Y | 2086S0105X | Surgery of the Hand | A43628 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 5182 | CA |
NPI | 1932184959 |
---|---|
Provider Name | Dr. Randi A Galli |
First Address | Fresno, CA 93720-0340 |
Second Address | Fresno, CA 93720-0340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E32604 | (02) |