Healthcare Provider Details

I. General information

NPI: 1285783464
Provider Name (Legal Business Name): GIL Q GALLOWAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SANTA FE DR
ENCINITAS CA
92024-5132
US

IV. Provider business mailing address

303 SANTA FE DR
ENCINITAS CA
92024-5132
US

V. Phone/Fax

Practice location:
  • Phone: 760-635-9185
  • Fax: 760-942-1359
Mailing address:
  • Phone: 760-635-9185
  • Fax: 760-942-1359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG83314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: