Provider Demographics
NPI:1386679561
Name:GALPIN, JEFFREY E (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:E
Last Name:GALPIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18375 VENTURA BLVD.
Mailing Address - Street 2:SUITE 428
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4218
Mailing Address - Country:US
Mailing Address - Phone:818-344-6111
Mailing Address - Fax:818-344-6111
Practice Address - Street 1:5525 ETIWANDA AVE.
Practice Address - Street 2:SUITE 218
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6156
Practice Address - Country:US
Practice Address - Phone:818-344-6111
Practice Address - Fax:818-344-5056
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG22170207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA90748Medicare UPIN
A90748Medicare UPIN
CAW16088Medicare PIN
CAW16088Medicare PIN