Individual
DR. KERRY TERESA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G74946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G749460
—
CA
05
—
GR0053510
—
CA
Enumeration date
07/27/2006
Last updated
07/09/2007
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