Healthcare Provider Details

I. General information

NPI: 1699054049
Provider Name (Legal Business Name): ANGELA GALATIERRA-GANDING L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA FAYE GALATIERRA L. AC.

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYWOOD AVE STE 1
SAN MATEO CA
94402-1537
US

IV. Provider business mailing address

1 BAYWOOD AVE STE 1
SAN MATEO CA
94402-1537
US

V. Phone/Fax

Practice location:
  • Phone: 650-242-5936
  • Fax: 650-539-0881
Mailing address:
  • Phone: 650-242-5936
  • Fax: 650-539-0881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC14371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: