Healthcare Provider Details

I. General information

NPI: 1356500268
Provider Name (Legal Business Name): ANJALEE WARRIER GALION M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20350 SW BIRCH ST
NEWPORT BEACH CA
92660-1713
US

IV. Provider business mailing address

200 S MANCHESTER AVE STE 300
ORANGE CA
92868-3219
US

V. Phone/Fax

Practice location:
  • Phone: 714-509-2230
  • Fax:
Mailing address:
  • Phone: 714-456-2986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA101608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: