Individual
GARY JOHN BARBAGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRP
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Mailing address
25312 CYPRESS ST, LOMITA, CA 90717-2035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
04/30/2025
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