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NPI Code Detail

MEDICARE: CONNOR GALBRAITH

MEDICARE: CONNOR GALBRAITH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1619783156
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNOR GALBRAITH
Provider Business Mailing Address
First Line : 23592 WINDSONG APT 24K
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-1382
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26401 CROWN VALLEY PKWY STE 101
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-6302
Country : US
Telephone Number : 949-340-4000
Fax Number : 949-348-7466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 04/14/2026

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Directions to “ CONNOR GALBRAITH ” Practice Location

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