Individual provider · Type 1 NPI
Constance Camille Gallardo, FNP
Family Nurse Practitioner · Torrance, CA
NPI number
1174735880
Active
Practice location
Harbor-Ucla 1000 W. Carson Street, Bldg N25-ROOM E111
Torrance, CA 90502
Mailing address
16931 Bluewater Lane
Huntington Beach, CA 92649-2926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 159764 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174735880
Constance Camille Gallardo, FNP's National Provider Identifier is 1174735880, issued on May 4, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Torrance, CA. The record was last updated on Jul 8, 2007.