Individual
GALEN CORTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15211 VANOWEN ST STE 208, VAN NUYS, CA 91405-3623
(818) 782-6600
Mailing address
PO BOX 260023, SAINT LOUIS, MO 63126-8023
(314) 849-3535
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G81199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G811990
—
CA
Enumeration date
06/30/2006
Last updated
09/30/2021
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