| Samuel S. Galley, M.d.,inc. | |
|
8473 S Van Ness Ave Suite 107 Inglewood CA 90305-1550 | |
| (323) 750-6959 | |
| (323) 778-4862 |
| Full Name | Samuel S. Galley, M.d.,inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8473 S Van Ness Ave, Inglewood, California |
| Authorized Official Name and Position | Samuel Setornyo Galley (PHYSICIAN, CEO) |
| Authorized Official Contact | 3237506959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel S. Galley, M.d.,inc. Po Box 801 Harbor City CA 90710-0801 Ph: (310) 518-1859 | Samuel S. Galley, M.d.,inc. 8473 S Van Ness Ave Suite 107 Inglewood CA 90305-1550 Ph: (323) 750-6959 |
| NPI Number | 1922258029 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922258029 | NPI | - | NPPES |
| 00G525891 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G52589 (California) | Primary |
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