Organization
SAMUEL S. GALLEY, M.D.,INC.
Active
Parent organization
SAMUEL S. GALLEY, M.D., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMUEL S. GALLEY, M.D., INC.
Authorized official
SAMUEL SETORNYO GALLEY M.D. (PHYSICIAN, CEO)
(323) 750-6959
Entity
Organization
Contact information
Practice address
8473 S VAN NESS AVE, SUITE 107, INGLEWOOD, CA 90305-1550
(323) 750-6959
(323) 778-4862
Mailing address
PO BOX 801, HARBOR CITY, CA 90710-0801
(310) 518-1859
(310) 518-1859
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G52589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G525891
—
CA
Enumeration date
09/25/2008
Last updated
09/25/2008
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