Healthcare Provider Details

I. General information

NPI: 1003566886
Provider Name (Legal Business Name): BRET GALLIHUGH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 E MAIN ST
EL CAJON CA
92021-5204
US

IV. Provider business mailing address

1630 E MAIN ST
EL CAJON CA
92021-5204
US

V. Phone/Fax

Practice location:
  • Phone: 858-573-0090
  • Fax:
Mailing address:
  • Phone: 858-573-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number20A25130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: