| Amy Gallo, MS, CCC-SLP | |
|
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
| (424) 251-7109 | |
| Not Available |
| Full Name | Amy Gallo |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 25825 Vermont Ave, Harbor City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891155586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 10421 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | 24989 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Gallo, MS, CCC-SLP 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (424) 251-7109 | Amy Gallo, MS, CCC-SLP 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (424) 251-7109 |
Mrs. Emilie Y Dill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 850-313-1498 | |
Vivian Tang Wong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 | |
Ms. Keina Saito, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 | |
Melissa Ly, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 | |
Miss Keisha La Juan Mccray, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-3922 | |
Angelina Gonzalez, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 | |
Ms. Susanna S Kim, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-3945 |