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Individual

DR. CHARLES JOHN GALANIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
416 N BEDFORD DR STE 311, BEVERLY HILLS, CA 90210-4309
(312) 995-9822
Mailing address
416 N BEDFORD DR STE 311, BEVERLY HILLS, CA 90210-4309
(617) 991-7392

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036-133545
IL
208200000X
Plastic Surgery Physician
A112172
CA
208600000X
Surgery Physician
A112172
CA
208600000X
Surgery Physician
RES-001
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407902190
CA
Enumeration date
01/26/2007
Last updated
03/16/2021
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