Healthcare Provider Details

I. General information

NPI: 1487782702
Provider Name (Legal Business Name): LASZLO Z. GALFFY, MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 WILSON TER STE 170
GLENDALE CA
91206-4074
US

IV. Provider business mailing address

PO BOX 5486
ORANGE CA
92863-5486
US

V. Phone/Fax

Practice location:
  • Phone: 818-550-0900
  • Fax:
Mailing address:
  • Phone: 818-550-0900
  • Fax: 505-293-1524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA53830
License Number StateCA

VIII. Authorized Official

Name: LASZLO Z GALFFY
Title or Position: PRESIDENT
Credential: MD
Phone: 818-550-0900