# IAIN SCOTT GALLEGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720198674
- **Gender:** Man
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 481865 | CA | — |
| 363L00000X | Nurse Practitioner | 11333 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/17/2008

## 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 |