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General NPI Number Information
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NPI Number | 1740339274
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Entity Type | Organization
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Legal Business Name | GALLONI ENTERPRISES MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD STE 408
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City | LOS ANGELES
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State | CA
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Zip | 90017-3905
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Country | US
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Telephone | 323-271-4173
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Fax | 951-215-2620
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Provider Business Mailing Address
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Address Line | PO BOX 5411
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City | NORCO
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State | CA
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Zip | 92860-8014
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Country | US
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Telephone | 323-271-4173
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Fax | 951-215-2620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIGI F GALLONI
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Credential | M.D.
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Telephone | 323-271-4173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A38436
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License Number State | CA
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