MEDICARE: MICHELLE GALLEGOS PPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1013863026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE GALLEGOS PPS

Provider Business Mailing Address
First Line	:	13745 LLAGAS AVE
Second Line	:
City	:	SAN MARTIN
State	:	CA
Zip	:	95046-9563
Country	:	US
Telephone Number	:	408-201-6480
Fax Number	:

Provider Business Practice Location Address
First Line	:	13745 LLAGAS AVE
Second Line	:
City	:	SAN MARTIN
State	:	CA
Zip	:	95046-9563
Country	:	US
Telephone Number	:	408-201-6480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ MICHELLE GALLEGOS PPS” Practice Location

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