Provider Demographics
NPI:1568244648
Name:GIVE FOR A SMILE
Entity Type:Organization
Organization Name:GIVE FOR A SMILE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-928-9807
Mailing Address - Street 1:10861 ACACIA PKWY
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5103
Mailing Address - Country:US
Mailing Address - Phone:714-928-4988
Mailing Address - Fax:
Practice Address - Street 1:10861 ACACIA PKWY
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5103
Practice Address - Country:US
Practice Address - Phone:714-928-4988
Practice Address - Fax:714-462-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty