Individual
ANTHONY GALLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCBADC RRW
Contact information
Practice address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-3300
(626) 910-1380
Mailing address
24210 E EAST FORK RD, 26, AZUSA, CA 91702-6249
(626) 910-3673
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
08/08/2011
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