| Doctor Name: | MR. ANDRE V GALLARDO |
| NPI Number: | 1871708859 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OTR,, PA |
| License Number: | OT 4374 |
| Business Practice Address: | 18800 Delaware St Suite 1100 Huntington Beach, CA - 926481959 |
| Business Phone Number: | 7148415333 |
| Business Fax Number: | 7148415303 |
| Mailing Address: | 5551 Mossvale Cir, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926494824 |
| Phone Number: | 7142069884 |
| Fax Number: | 7149082211 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OT 4374 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |