Individual provider · Type 1 NPI

Andre Gallares, PA-C

Surgical Physician Assistant · San Diego, CA

NPI number 1093018764 Active

Practice location

6645 Alvarado Rd, Suite 4000
San Diego, CA 92120-5208

Fax (619) 229-4938

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA21239 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1093018764

Andre Gallares, PA-C's National Provider Identifier is 1093018764, issued on Dec 17, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Dec 17, 2010.