Provider Demographics
NPI:1003903089
Name:GALAMBA, PATRICIA JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JEAN
Last Name:GALAMBA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:909 HYDE ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4822
Mailing Address - Country:US
Mailing Address - Phone:415-928-4920
Mailing Address - Fax:415-474-7654
Practice Address - Street 1:909 HYDE ST
Practice Address - Street 2:SUITE 410
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4822
Practice Address - Country:US
Practice Address - Phone:415-928-4920
Practice Address - Fax:415-474-7654
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA034783207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27581Medicare UPIN
CA00A347830Medicare PIN