MEDICARE: FRED JAMES GALLUCCIO M.D.

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	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W16599	OTHER	CA	MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1073702643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRED JAMES GALLUCCIO M.D.

Provider Business Mailing Address
First Line	:	901 DOVER DR STE 102
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-5514
Country	:	US
Telephone Number	:	949-646-4865
Fax Number	:	949-646-7716

Provider Business Practice Location Address
First Line	:	901 DOVER DR STE 102
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-5514
Country	:	US
Telephone Number	:	949-646-4865
Fax Number	:	949-646-7716

Authorized Official
Title or Position	:	SECRETARY
Name	:	MONIKA M GALLUCCIO
Credential	:
Telephone Number	:	949-646-4865

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	10/19/2007

Similar Medicare Providers

1164095220 — DR. JENNIFER JIAYUN ZHANG YOO OD
Practice Location Address:

901 DOVER DR STE 100
NEWPORT BEACH, CA
92660-5514

Practice Phone: 949-642-0292
Practice Fax:

1881613164 — DR. HAROLD MARK JONAS PHD, LMHC, CAP
Practice Location Address:

297 NE 6TH AVE
DELRAY BEACH, FL
33483-5514

Practice Phone: 561-243-0407
Practice Fax: 561-243-0030

1841315611 — DR. BRANDON T. NGUYEN D.M.D
Practice Location Address:

1360 E ANAHEIM ST , SUITE 109
LONG BEACH, CA
90813-5514

Practice Phone: 562-599-3838
Practice Fax: 562-599-6818

1003020652 — INTERVENTION STRATEGIES, INC.
Practice Location Address:

297 NE 6TH AVE
DELRAY BEACH, FL
33483-5514

Practice Phone: 561-243-0407
Practice Fax: 561-243-0030

1346451762 — BRANDON T. NGUYEN, DMD, INC.
Practice Location Address:

1360 E ANAHEIM ST , SUITE 109
LONG BEACH, CA
90813-5514

Practice Phone: 562-599-3838
Practice Fax: 562-599-6818

1265681142 — BELCI NOEMI ENCINOSA MSW
Practice Location Address:

5514 WESTERN AVE
WEST PALM BEACH, FL
33405

Practice Phone: 561-585-4183
Practice Fax:

Directions to “FRED JAMES GALLUCCIO M.D. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.