Samuel S. Galley, M.D.,Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G52589 Issued in CA

Legal business name

SAMUEL S. GALLEY, M.D.,INC.

Practice address

8473 S Van Ness Ave
Suite 107
Inglewood, CA 90305-1550

Phone

(323) 750-6959

Fax

(323) 778-4862

NPI assigned

Sep 25, 2008

Organization subpart

Yes

Parent organization

SAMUEL S. GALLEY, M.D., INC.As reported in NPPES

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

Authorized official

Name

Samuel Setornyo Galley, M.D.

Title

Physician, Ceo

Phone

(323) 750-6959

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Family Medical Clinic

Locations

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1922258029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907100801",
            "telephone_number": "310-518-1859",
            "fax_number": "310-518-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8473 S VAN NESS AVE",
            "address_2": "SUITE 107",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051550",
            "telephone_number": "323-750-6959",
            "fax_number": "323-778-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL S. GALLEY, M.D.,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMUEL S. GALLEY, M.D., INC.",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "GALLEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "SETORNYO",
        "authorized_official_title_or_position": "PHYSICIAN, CEO",
        "authorized_official_telephone_number": "323-750-6959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G52589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G525891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.