Provider Demographics
NPI:1407309412
Name:GALINATO, ARCHIE GARCIA (ATC)
Entity Type:Individual
Prefix:
First Name:ARCHIE
Middle Name:GARCIA
Last Name:GALINATO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 N STATE COLLEGE BLVD APT 3040
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-5721
Mailing Address - Country:US
Mailing Address - Phone:843-513-9269
Mailing Address - Fax:
Practice Address - Street 1:293 N STATE COLLEGE BLVD APT 3040
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-5721
Practice Address - Country:US
Practice Address - Phone:843-513-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20000229952255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer