Healthcare Provider Details

I. General information

NPI: 1740210657
Provider Name (Legal Business Name): JULIA ANNA THOMPSON GALLEGO N.P., M.S.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JULIA ANNA GALLETLY

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVENUE, DEPT. OF NEUROSURGERY SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER
SAN FRANCISCO CA
94110-3594
US

IV. Provider business mailing address

2982 MARLBORO WAY
SAN RAMON CA
94583-2737
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-3219
  • Fax: 415-502-4985
Mailing address:
  • Phone: 925-786-1127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP15870
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN536368
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: