Organization
DONNA GALLIK MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE GALLIK MD (MD)
(310) 289-5901
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 1017, LOS ANGELES, CA 90048-5901
(310) 289-5901
Mailing address
17176 AVENIDA DE SANTA YNEZ, PACIFIC PALISADES, CA 90272
(310) 289-5901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G80598
CA
207RC0000X
Cardiovascular Disease Physician
G80598
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G80598
CA
Other
Enumeration date
07/16/2006
Last updated
03/27/2008
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