Healthcare Provider Details

I. General information

NPI: 1497663199
Provider Name (Legal Business Name): GEORGINA GALINDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 MEDICAL CENTER CT
CHULA VISTA CA
91911-6618
US

IV. Provider business mailing address

BAYVIEW HEIGHTS PLACE APARTMENT 6
SAN DIEGO CA
92105
US

V. Phone/Fax

Practice location:
  • Phone: 714-245-0045
  • Fax: 714-726-0040
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number175T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: