Provider Demographics
NPI:1437611191
Name:GALOYO, RUBIE
Entity Type:Individual
Prefix:
First Name:RUBIE
Middle Name:
Last Name:GALOYO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MUNZER ST STE C
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-2042
Mailing Address - Country:US
Mailing Address - Phone:661-630-5274
Mailing Address - Fax:
Practice Address - Street 1:501 MUNZER ST STE C
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-2042
Practice Address - Country:US
Practice Address - Phone:661-630-5274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010617208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics