Healthcare Provider Details

I. General information

NPI: 1437182441
Provider Name (Legal Business Name): JOSEPH Y GALI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 SAMARITAN DR SIUTE 720
SAN JOSE CA
95124-4100
US

IV. Provider business mailing address

2577 SAMARITAN DR SIUTE 720
SAN JOSE CA
95124-4100
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-3516
  • Fax: 408-356-3565
Mailing address:
  • Phone: 408-358-3516
  • Fax: 408-356-3565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA44677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: