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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NPI Details

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
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanNo
2171000000XMilitary Health Care ProviderYes

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: 11/21/2025

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