# CHRISTIAN GALLERY MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871606251
- **Authorized official:** CHRISTIAN ANDREW GALLERY MD (OWNER)
- **Authorized official phone:** (209) 385-3280

## Contact information

- **Practice address:** 2644 M ST, STE. H, MERCED, CA 95340-2826
- **Practice address phone:** (209) 385-3280
- **Practice address fax:** (209) 385-3286
- **Mailing address:** 2644 M ST STE H, MERCED, CA 95340-2826
- **Mailing address phone:** (209) 385-3280
- **Mailing address fax:** (209) 385-3286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G66256 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 05/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0099810 | — | CA |
| 01 | — | ZZZ65531Z | BLUE SHIELD GRP NUMBER | CA |