Organization
HUMBERTO A. GALLENO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO A GALLENO M.D. (OWNER)
(626) 332-1194
Entity
Organization
Contact information
Practice address
315 N 3RD AVE, SUITE 302, COVINA, CA 91723-1905
(626) 332-1194
(626) 915-3162
Mailing address
315 N 3RD AVE, SUITE 302, COVINA, CA 91723-1905
(626) 332-1194
(626) 915-3162
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G38401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G384010
—
CA
Enumeration date
03/27/2007
Last updated
08/22/2020
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