| Doctor Name: | LARISA GALLO |
| NPI Number: | 1013256833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA056002 |
| Business Practice Address: | 900 Blake Wilbur Dr Palo Alto, CA - 943042201 |
| Business Phone Number: | 6504986004 |
| Business Fax Number: | |
| Mailing Address: | 900 Blake Wilbur Dr, PALO ALTO |
| State: | CA |
| Postal Code: | 943042201 |
| Phone Number: | 6504986004 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2013 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA056002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |