Healthcare Provider Details

I. General information

NPI: 1851964415
Provider Name (Legal Business Name): JOSE MANUEL GALAVIZ GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27879 SMYTH DR
VALENCIA CA
91355-4011
US

IV. Provider business mailing address

27879 SMYTH DR
VALENCIA CA
91355-4011
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-2500
  • Fax: 661-362-0228
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA9076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: