NOEM CLAY GALLEGO NPI 1417328063

NPI Information

NPI: 1417328063
Provider Name: NOEM CLAY GALLEGO
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
34101 BUILDING 14, FARENHOLT AVENUE
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-9712
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Noem Clay Gallego is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Noem Clay Gallego NPI is 1417328063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34101 BUILDING 14, FARENHOLT AVENUE
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-9712

The enumeration date for this NPI number is 10/8/2015 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1710I1002X	Military Health Care Provider	Independent Duty Corpsman			No
2	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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