Healthcare Provider Details

I. General information

NPI: 1114014974
Provider Name (Legal Business Name): KORINA GAHOL GALARAGA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

774 S PLACENTIA AVE
PLACENTIA CA
92870-6826
US

IV. Provider business mailing address

34 TAQUITZ
IRVINE CA
92602-2430
US

V. Phone/Fax

Practice location:
  • Phone: 714-646-8318
  • Fax: 714-455-3656
Mailing address:
  • Phone: 917-742-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number028369
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: