Healthcare Provider Details

I. General information

NPI: 1184683302
Provider Name (Legal Business Name): FLORINDA GALANG MALLORCA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1191 E YOSEMITE AVE STE B
MANTECA CA
95336-5071
US

IV. Provider business mailing address

20427 TINNIN RD
MANTECA CA
95337-8524
US

V. Phone/Fax

Practice location:
  • Phone: 209-239-4515
  • Fax: 209-239-7815
Mailing address:
  • Phone: 209-239-2743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA50177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: