Individual
LANA LOUIE A. WANIA-GALICIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
865 PATRIOT DR, SUITE 201A, MOORPARK, CA 93021-3407
(805) 222-4549
Mailing address
530 W LOS ANGELES AVE, STE 115, MS 343, MOORPARK, CA 93021-1746
(805) 222-4549
(805) 529-4549
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A80078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00036928
RAILROAD MEDICARE PIN
CA
Enumeration date
12/23/2005
Last updated
07/15/2015
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