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NPI Code Detail

MEDICARE: ROBERT RODARTE GALVAN

MEDICARE: ROBERT RODARTE GALVAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194435628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT RODARTE GALVAN
Provider Business Mailing Address
First Line : 22158 VALERIO ST
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-1116
Country : US
Telephone Number : 818-269-8154
Fax Number :
Provider Business Practice Location Address
First Line : 225 W BROADWAY STE 155
Second Line :
City : GLENDALE
State : CA
Zip : 91204-1332
Country : US
Telephone Number : 818-333-8293
Fax Number : 818-441-0013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2022
Last Update Date : 12/21/2022

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Directions to “ ROBERT RODARTE GALVAN ” Practice Location

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