Healthcare Provider Details

I. General information

NPI: 1568537603
Provider Name (Legal Business Name): ALAN GALVEY SALUTA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 01/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIFORNIA RD STE. 234
TEMECULA CA
92591-6200
US

IV. Provider business mailing address

11664 ASPENDELL DR
SAN DIEGO CA
92131-6108
US

V. Phone/Fax

Practice location:
  • Phone: 951-506-3001
  • Fax: 951-506-3002
Mailing address:
  • Phone: 858-337-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23714
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT 23714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: