Healthcare Provider Details

I. General information

NPI: 1912393604
Provider Name (Legal Business Name): FLORA NUNEZ GALLEGOS M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL 5
SAN FRANCISCO CA
94158-2545
US

IV. Provider business mailing address

750 WELCH RD STE 305
PALO ALTO CA
94304-1510
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2008
  • Fax:
Mailing address:
  • Phone: 818-307-7602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR6858
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA162194
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA162194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: