Healthcare Provider Details

I. General information

NPI: 1225134885
Provider Name (Legal Business Name): FLORCITA ALVAREZ-GALOOSIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FLORCITA ALVAREZ-GALOOSIAN MD

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43322 GINGHAM AVE SUITE 105, BARTZ-ALTADONNA CHC
LANCASTER CA
93535-4569
US

IV. Provider business mailing address

16050 COMET WAY
CANYON COUNTRY CA
91387-3662
US

V. Phone/Fax

Practice location:
  • Phone: 661-874-4050
  • Fax:
Mailing address:
  • Phone: 505-550-9888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG073006
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: