Provider Demographics
NPI:1669069829
Name:GALVEZ, MILKA (PMHNP)
Entity type:Individual
Prefix:
First Name:MILKA
Middle Name:
Last Name:GALVEZ
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:MILKA
Other - Middle Name:
Other - Last Name:GALVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MILKA ILAGAN
Mailing Address - Street 1:10815 RANCHO BERNARDO RD STE 370
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5707
Mailing Address - Country:US
Mailing Address - Phone:888-588-8995
Mailing Address - Fax:
Practice Address - Street 1:10815 RANCHO BERNARDO RD STE 370
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-5707
Practice Address - Country:US
Practice Address - Phone:888-588-8995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016718363LP0808X
IL209022211363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health