Doctor Name: | ERICA GALLEN |
NPI Number: | 1013319417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | NP95001245 |
Business Practice Address: | 517 W Junipero St Santa Barbara, CA - 931054239 |
Business Phone Number: | 8059794650 |
Business Fax Number: | 8056852802 |
Mailing Address: | 517 W Junipero St, SANTA BARBARA |
State: | CA |
Postal Code: | 931054239 |
Phone Number: | 8056828844 |
Fax Number: | 8056826499 |
NPI Enumeration Date: | 09/17/2014 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP95001245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |