Individual
GAIL NALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 BEVERLY BLVD STE 218, LOS ANGELES, CA 90057-2403
(213) 618-9719
(310) 337-1508
Mailing address
6615 S HOLT AVE, LOS ANGELES, CA 90056-2211
(213) 618-9719
(310) 337-1508
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G47276
CA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
G47276
CA
2085N0700X
Neuroradiology Physician
G47276
CA
2085N0904X
Nuclear Radiology Physician
G47276
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G47276
CA
2085U0001X
Diagnostic Ultrasound Physician
G47276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G472760
—
CA
01
—
G47276A
MEDICARE
CA
01
—
G47276B
MEDICARE
CA
01
—
G47276C
MEDICARE
CA
Enumeration date
08/07/2006
Last updated
12/18/2019
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