Individual
GALUST GARY HALAJYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26520 CACTUS AVE, ROOM #F 2027, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
(714) 973-2655
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
A69068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A690680
—
CA
01
—
00A690680 F91
CAL OPTIMA
CA
Enumeration date
10/02/2006
Last updated
05/26/2016
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