Provider Demographics
NPI:1740785021
Name:GALLI, CHRISTOPHER (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:GALLI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 COYLE AVENUE
Mailing Address - Street 2:STE 202
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2105
Mailing Address - Country:US
Mailing Address - Phone:916-961-3434
Mailing Address - Fax:916-961-0540
Practice Address - Street 1:6620 COYLE AVENUE
Practice Address - Street 2:STE 202
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-2105
Practice Address - Country:US
Practice Address - Phone:916-961-3434
Practice Address - Fax:916-961-0540
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5745213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery