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Individual
IAIN SCOTT GALLEGO
Active
Individual
IAIN SCOTT GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
481865
CA
363L00000X
Nurse Practitioner
Primary
11333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0092950
MEDI-CAL GROUP NUMBER
CA
05
—
NP11333
—
CA
01
—
P00072073
MEDICARE RAILROAD
CA
01
—
ZZZ01707Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ06298Z
MEDICARE PTAN
CA
Enumeration date
08/30/2006
Last updated
03/17/2008
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