Provider Demographics
NPI:1770591273
Name:GALBRAITH, DONALD MARLOW (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MARLOW
Last Name:GALBRAITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2455 190TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-5334
Mailing Address - Country:US
Mailing Address - Phone:310-372-1266
Mailing Address - Fax:310-782-1692
Practice Address - Street 1:2455 190TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-5334
Practice Address - Country:US
Practice Address - Phone:310-372-1266
Practice Address - Fax:310-782-1692
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0146010Medicare ID - Type Unspecified