Provider Demographics
NPI:1003336553
Name:GALICIA ALMANZA, PABLO (AUD)
Entity Type:Individual
Prefix:DR
First Name:PABLO
Middle Name:
Last Name:GALICIA ALMANZA
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 CAMINO DEL RIO S STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3817
Mailing Address - Country:US
Mailing Address - Phone:240-595-8637
Mailing Address - Fax:
Practice Address - Street 1:2815 CAMINO DEL RIO S STE 220
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3817
Practice Address - Country:US
Practice Address - Phone:858-279-6772
Practice Address - Fax:858-279-7505
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist