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Individual

MR. ANDRE V GALLARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR, PA

Contact information

Practice address
16200 AMBER VALLEY DR, WHITTIER, CA 90604-4051
(562) 943-7125
(562) 903-3398
Mailing address
5551 MOSSVALE CIR, HUNTINGTON BEACH, CA 92649-4824
(714) 206-9884
(714) 908-2211

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4374
CA
363A00000X
Physician Assistant
Primary
19169
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19169
PHYSICIAN'S ASSISTANT
CA
01
OT 4374
OCCUPATIONAL THERAPIST
CA
Enumeration date
05/11/2007
Last updated
03/23/2018
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