Healthcare Provider Details

I. General information

NPI: 1366354656
Provider Name (Legal Business Name): ANNIKA GALLOWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 FLETCHER DR APT 1
LOS ANGELES CA
90039-2458
US

IV. Provider business mailing address

2732 FLETCHER DR APT 1
LOS ANGELES CA
90039-2458
US

V. Phone/Fax

Practice location:
  • Phone: 818-455-3658
  • Fax:
Mailing address:
  • Phone: 818-455-3658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: