MEDICARE: MICHELLE MAY GALVEZ RD, CNSC

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	133V00000X	Registered Dietitian	86072112	CA

General Provider Information

NPI Number	:	1033629225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MAY GALVEZ RD, CNSC

Provider Business Mailing Address
First Line	:	1308 E COLORADO BLVD # 2013
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1932
Country	:	US
Telephone Number	:	323-857-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1308 E COLORADO BLVD # 2013
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1932
Country	:	US
Telephone Number	:	626-224-1011
Fax Number	:

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

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	06/28/2025

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