Galicia, Samuel Antonio

Galicia, Samuel Antonio is an individual health care provider with primary practice located at 1721 W Yosemite Ave , Manteca CA 95337-5130. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Galicia, Samuel Antonio can be contacted via phone (209) 825-3700.

Contact Information

Primary practice address
1721 W Yosemite Ave Manteca CA 95337-5130
Phone: (209) 825-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A145065 California

Profile Details

NPI number 1104238104
LBN Legal business name Galicia, Samuel Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2014
Last updated Dec 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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