| Mr Daniel Delanoche Gallares, MD | |
|
7592 Broadway, Lemon Grove, CA 91945-1604 | |
| (619) 515-2550 | |
| Not Available |
| Full Name | Mr Daniel Delanoche Gallares |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 7592 Broadway, Lemon Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245689488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A165925 (California) | Primary |
| 207R00000X | Internal Medicine | MD-20333 (Hawaii) | Secondary |
| 208M00000X | Hospitalist | MD-20333 (Hawaii) | Secondary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Delanoche Gallares, MD 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Mr Daniel Delanoche Gallares, MD 7592 Broadway, Lemon Grove, CA 91945-1604 Ph: (619) 515-2550 |
Amira Abdullahi Sheikh Mohamed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Po Box 35, Lemon Grove, CA 91946 Phone: 619-429-3733 | |
Dr. Mary E Hine, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7967 Broadway, Lemon Grove, CA 91945 Phone: 619-741-7423 Fax: 619-713-2589 |