Individual
CLARISSA AGLAEN GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 KIMBERLY AVE SUITE 120, PLACENTIA, CA 92870-1120
(714) 966-8650
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-6468
(949) 420-5954
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
06/05/2019
Last updated
06/09/2025
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