Provider Demographics
NPI:1417344631
Name:GALVIS, ALVARO EDUARDO (PHD, MD)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:EDUARDO
Last Name:GALVIS
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PEDIATRICS
Mailing Address - Street 2:11175 CAMPUS STREET CP- A1120
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1700
Mailing Address - Country:US
Mailing Address - Phone:909-558-8626
Mailing Address - Fax:909-558-0479
Practice Address - Street 1:DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:11175 CAMPUS STREET CP- A1120
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-1700
Practice Address - Country:US
Practice Address - Phone:909-558-8626
Practice Address - Fax:909-558-0479
Is Sole Proprietor?:No
Enumeration Date:2015-04-26
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1630642080P0208X
NV18272208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program