MEDICARE: ELIZABETH GALTON 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	2084P0800X	Psychiatry Physician	A23106	CA

General Provider Information

NPI Number	:	1760476394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH GALTON MD

Provider Business Mailing Address
First Line	:	2901 WILSHIRE BLVD
Second Line	:	421
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4901
Country	:	US
Telephone Number	:	310-829-2178
Fax Number	:	310-472-1545

Provider Business Practice Location Address
First Line	:	2901 WILSHIRE BLVD
Second Line	:	421
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4901
Country	:	US
Telephone Number	:	310-829-2178
Fax Number	:	310-472-1545

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

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	07/08/2007

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