Provider Demographics
NPI:1336355213
Name:AHARONOV, GAL (MD)
Entity Type:Individual
Prefix:DR
First Name:GAL
Middle Name:
Last Name:AHARONOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 N LINDEN DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2247
Mailing Address - Country:US
Mailing Address - Phone:310-276-1126
Mailing Address - Fax:310-276-1127
Practice Address - Street 1:462 N LINDEN DR
Practice Address - Street 2:SUITE 240
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2247
Practice Address - Country:US
Practice Address - Phone:310-276-1126
Practice Address - Fax:310-276-1127
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98463207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery