Charles John Galanis, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036-133545 Issued in IL

Practice address

416 N Bedford Dr Ste 311
Beverly Hills, CA 90210-4309

Phone

(312) 995-9822

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1407902190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 311",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104309",
            "telephone_number": "617-991-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 311",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104309",
            "telephone_number": "312-995-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 W Frontage Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "IL",
            "postal_code": "600933467",
            "country_code": "US",
            "telephone_number": "847-441-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALANIS",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-133545",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A112172",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A112172",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "RES-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407902190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Gad, MA, MFT
• Michelle Gagnon
• Gail C. Brady MD, a Professional
• Gal Aharonov, M.D.
• Elizabeth Rose Galadjian
• George Patrick Galano
• Douglas Marc Galen, D.D.S,
• Oana Galicki, M.D.
• Hollie Gallagher-Zate, DO
• Mick Alan Gallinson, PSY.D.

• Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.