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Organization
KATHLEEN GALLAHER, M.D.
Active
Organization
KATHLEEN GALLAHER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN EMILIE GALLAHER M.D. (CHIEF EXECUTIVE OFFICER)
(714) 974-1362
Entity
Organization
Contact information
Practice address
17871 SANTIAGO BLVD STE 206, VILLA PARK, CA 92861-4118
(714) 974-1362
(714) 974-3145
Mailing address
17871 SANTIAGO BLVD STE 206, VILLA PARK, CA 92861-4118
(714) 974-1362
(714) 974-3145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00004108
RAILROAD MEDICARE
CA
Enumeration date
10/15/2007
Last updated
06/02/2010
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