Provider Demographics
NPI:1225134885
Name:ALVAREZ-GALOOSIAN, FLORCITA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORCITA
Middle Name:
Last Name:ALVAREZ-GALOOSIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FLORCITA
Other - Middle Name:
Other - Last Name:ALVAREZ-GALOOSIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16050 COMET WAY
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-3662
Mailing Address - Country:US
Mailing Address - Phone:505-550-9888
Mailing Address - Fax:
Practice Address - Street 1:43322 GINGHAM AVE
Practice Address - Street 2:SUITE 105, BARTZ-ALTADONNA CHC
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4569
Practice Address - Country:US
Practice Address - Phone:661-874-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG073006207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F90103Medicare UPIN