| Kathleen Gallaher, M.d. | |
|
17871 Santiago Blvd Ste 206 Villa Park CA 92861-4118 | |
| (714) 974-1362 | |
| (714) 974-3145 |
| Full Name | Kathleen Gallaher, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 17871 Santiago Blvd Ste 206, Villa Park, California |
| Authorized Official Name and Position | Kathleen Emilie Gallaher (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7149741362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Gallaher, M.d. 17871 Santiago Blvd Ste 206 Villa Park CA 92861-4118 Ph: (714) 974-1362 | Kathleen Gallaher, M.d. 17871 Santiago Blvd Ste 206 Villa Park CA 92861-4118 Ph: (714) 974-1362 |
| NPI Number | 1649469750 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649469750 | NPI | - | NPPES |
| P00004108 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A40219 (California) | Primary |
June Weinstein&associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17853 Santiago Blvd, Suite 354, Villa Park, CA 92861 Phone: 714-974-3828 Fax: 714-974-4461 |