Gallegos, Nicolas

Gallegos, Nicolas is an sole proprietor health care provider with primary practice located at 2374 E Pacifica Pl , Rancho Dominguez CA 90220-6214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gallegos, Nicolas can be contacted via phone (310) 225-3244.

Contact Information

Primary practice address
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214
Phone: (310) 225-3244
Fax: (310) 698-7040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X A124479 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A124479 California

Profile Details

NPI number 1205129509
LBN Legal business name Gallegos, Nicolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2011
Last updated Sep 25th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205129509 NPPES
California Other CB307397 PATHOLOGY

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