Individual
DR. RICHARD L GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-5580
Mailing address
9500 GILMAN DR, MAIL CODE 9111-B, LA JOLLA, CA 92093-5004
(619) 543-5580
(858) 642-1435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C50273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C502730
—
CA
Enumeration date
07/12/2006
Last updated
07/08/2007
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