Healthcare Provider Details

I. General information

NPI: 1659964815
Provider Name (Legal Business Name): LILIAN GALMEZ LVN, CMC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 LASAINE AVE
NORTHRIDGE CA
91325-2421
US

IV. Provider business mailing address

18039 CHATSWORTH ST STE 3302
GRANADA HILLS CA
91344-5608
US

V. Phone/Fax

Practice location:
  • Phone: 818-357-8301
  • Fax: 888-428-6138
Mailing address:
  • Phone: 818-357-8301
  • Fax: 888-428-6138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number711110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: