MEDICARE: DR. RICHARD S GALIN MD

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	174400000X	Specialist	G-13698	CA

General Provider Information

NPI Number	:	1689924003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD S GALIN MD

Provider Business Mailing Address
First Line	:	10590 WILSHIRE BLVD
Second Line	:	SUITE 604
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4501
Country	:	US
Telephone Number	:	509-336-9760
Fax Number	:

Provider Business Practice Location Address
First Line	:	10590 WILSHIRE BLVD
Second Line	:	SUITE 604
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4501
Country	:	US
Telephone Number	:	509-336-9760
Fax Number	:

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

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2012

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