Healthcare Provider Details

I. General information

NPI: 1669682217
Provider Name (Legal Business Name): MONICA GALARZA-ADAMS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 12/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6912 AJAX AVE.
BELL GARDENS CA
90201
US

IV. Provider business mailing address

1910 W SUNSET BLVD. SUITE 650
LOS ANGELES CA
90026
US

V. Phone/Fax

Practice location:
  • Phone: 323-562-5813
  • Fax: 323-326-1146
Mailing address:
  • Phone: 213-353-1111
  • Fax: 213-353-1119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: