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General NPI Number Information
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NPI Number | 1225168024
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Entity Type | Organization
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Legal Business Name | LUIS A. GALDAMEZ, MD INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2955 E FLORENCE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5836
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Country | US
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Telephone | 323-585-0732
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Fax | 323-585-1673
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Provider Business Mailing Address
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Address Line | 2955 E FLORENCE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5836
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Country | US
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Telephone | 323-585-0732
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Fax | 323-585-1673
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CORINA AYERS
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Credential |
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Telephone | 323-585-0732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A050144
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A048644
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17148
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA12501
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15773
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License Number State | CA
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