Fred James Galluccio M.D.

LBN: Fred James Galluccio M.D.
Fred James Galluccio M.D. is an health care organization with primary practice located at 901 Dover Dr Ste 102 , Newport Beach CA 92660-5514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fred James Galluccio M.D. can be contacted via phone (949) 646-4865, or through Galluccio, Monika M via phone (949) 646-4865.

Contact Information

Primary practice address
901 Dover Dr Ste 102 Newport Beach CA 92660-5514
Phone: (949) 646-4865
Fax: (949) 646-7716
Website:
Map and Directions
Authorized official contact:
Name: Galluccio, Monika M
Phone: (949) 646-4865

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1073702643
LBN Legal business name Fred James Galluccio M.D.
DBA Doing business as
Authorized official Galluccio, Monika M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2007
Last updated Oct 19th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073702643 NPPES
California Other W16599 MEDICARE GROUP NUMBER

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