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Individual

DR. JUAN GALIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 782-6600
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A26218
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A26218
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A262180
CA
Enumeration date
02/27/2006
Last updated
10/31/2008
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