Healthcare Provider Details

I. General information

NPI: 1740785021
Provider Name (Legal Business Name): CHRISTOPHER GALLI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 07/08/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 COYLE AVENUE STE 202
CARMICHAEL CA
95608-2105
US

IV. Provider business mailing address

6620 COYLE AVENUE STE 202
CARMICHAEL CA
95608-2105
US

V. Phone/Fax

Practice location:
  • Phone: 916-961-3434
  • Fax: 916-961-0540
Mailing address:
  • Phone: 916-961-3434
  • Fax: 916-961-0540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: