Provider Demographics
NPI:1356531206
Name:JEFFREY E GALPIN MD INC
Entity type:Organization
Organization Name:JEFFREY E GALPIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-344-6111
Mailing Address - Street 1:5525 ETIWANDA AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6124
Mailing Address - Country:US
Mailing Address - Phone:818-344-6111
Mailing Address - Fax:818-344-5056
Practice Address - Street 1:5525 ETIWANDA AVE STE 308
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6124
Practice Address - Country:US
Practice Address - Phone:818-344-6111
Practice Address - Fax:818-344-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG22170207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW16088Medicare UPIN
CAA90748Medicare UPIN
CAW16088Medicare PIN