Healthcare Provider Details

I. General information

NPI: 1467658062
Provider Name (Legal Business Name): FELISE MAY GALANO BARTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 LAWRENCE EXPY DEPT 490
SANTA CLARA CA
95051-5173
US

IV. Provider business mailing address

2319 47TH AVE
SAN FRANCISCO CA
94116-2054
US

V. Phone/Fax

Practice location:
  • Phone: 408-851-4100
  • Fax:
Mailing address:
  • Phone: 818-383-9975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberA121145
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: