John Joseph Gallo
Emergency Physician
3800 Dale Rd
Modesto
, California 95356-8627
John Joseph Gallo
Emergency Physician
3800 Dale Rd
Modesto
, California 95356-8627
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- John Joseph Gallo
- 1451 Rocky Ridge Dr Apt 802
- Roseville, CA
- Zip : 95661-3005
- Phone :
Second Address
- John Joseph Gallo
- 3800 Dale Rd
- Modesto, CA
- Zip : 95356-8627
- Phone : (209) 557-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | G32335 | CA |
National Provider Identifier
| NPI | 1003812751 |
|---|---|
| Provider Name | John Joseph Gallo |
| First Address | Roseville, CA 95661-3005 |
| Second Address | Modesto, CA 95356-8627 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A45109 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.