Individual provider · Type 1 NPI

Jacqueline Nicole Mariano Gallardo, MD

Family Medicine Physician · Seal Beach, CA

NPI number 1134611882 Active

Practice location

1198 Pacific Coast Hwy # 1
Seal Beach, CA 90740-6251

Fax (562) 594-5627

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XA173639 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1134611882

Jacqueline Nicole Mariano Gallardo, MD's National Provider Identifier is 1134611882, issued on May 30, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Seal Beach, CA. The record was last updated on Nov 16, 2025.