Individual
IAIN SCOTT GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2701 CHESTER AVE, BAKERSFIELD, CA 93301-2016
(661) 716-9400
Mailing address
2701 CHESTER AVE, BAKERSFIELD, CA 93301-2016
(661) 716-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
481865
CA
363L00000X
Nurse Practitioner
Primary
11333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0092950
MEDI-CAL GROUP NUMBER
CA
05
—
NP11333
—
CA
01
—
P00072073
MEDICARE RAILROAD
CA
01
—
ZZZ01707Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ06298Z
MEDICARE PTAN
CA
Enumeration date
08/30/2006
Last updated
03/17/2008
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