Physician Compare National (NPI:1033100045)

HEALTHCARE PROVIDER: DONNA M GALLIK MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033100045
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749171734
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040320000743
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GALLIK
	Individual professional last name
Provider First Name	DONNA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIAC ELECTROPHYSIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8631 W 3RD ST
	Group Practice or individual's line 1 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900485901
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	350002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI ST ALEXIUS HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050625
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CEDARS-SINAI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050742
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OLYMPIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050290
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PROVIDENCE SAINT JOHN'S HEALTH CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y