Provider Demographics
NPI:1326073990
Name:GALKO, BARBARA M (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:GALKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31852 S COAST HWY
Mailing Address - Street 2:STE 201
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6765
Mailing Address - Country:US
Mailing Address - Phone:949-715-0505
Mailing Address - Fax:949-715-0508
Practice Address - Street 1:31852 S COAST HWY
Practice Address - Street 2:STE 201
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6765
Practice Address - Country:US
Practice Address - Phone:949-715-0505
Practice Address - Fax:949-715-0508
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038252207RP1001X
CAG88935207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT290000318Medicare PIN
CTG38963Medicare UPIN