Provider Demographics
NPI:1376087312
Name:GALAURA, JOVITO (PT32404)
Entity Type:Individual
Prefix:
First Name:JOVITO
Middle Name:
Last Name:GALAURA
Suffix:
Gender:M
Credentials:PT32404
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14660 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3119
Mailing Address - Country:US
Mailing Address - Phone:818-901-4836
Mailing Address - Fax:818-376-0044
Practice Address - Street 1:14660 OXNARD STREET
Practice Address - Street 2:250
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:818-901-4836
Practice Address - Fax:818-376-0044
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician