Healthcare Provider Details

I. General information

NPI: 1386551042
Provider Name (Legal Business Name): OFELIA AMADOR-GALVAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24270 WALNUT ST # 200
NEWHALL CA
91321-2925
US

IV. Provider business mailing address

24270 WALNUT ST # 200
NEWHALL CA
91321-2925
US

V. Phone/Fax

Practice location:
  • Phone: 661-755-2447
  • Fax:
Mailing address:
  • Phone: 661-755-2447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: