Malia Michiko Gallegos, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90670 Issued in CA

Practice address

850 Colorado Blvd
Ste 203
Los Angeles, CA 90041-1738

Phone

(213) 293-9923

NPI assigned

Apr 14, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Malia Michiko Oliver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1376077461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70193",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911177193",
            "telephone_number": "808-429-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLORADO BLVD",
            "address_2": "STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411738",
            "telephone_number": "213-293-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MALIA",
        "middle_name": "MICHIKO",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIA",
            "last_name": "OLIVER",
            "middle_name": "MICHIKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessalie Gallegos
• Karina Gallegos
• Lisa Rebecca Gallegos, LCSW
• Lisette G Gallegos
• Luzdivina Gallegos
• Monica Gallegos
• Oscar Gallegos, PHARM.D.
• Rocio Gallegos
• Rosa Linda Gallegos, RN
• Sandra Luz Gallegos

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.