person
Ms. Dominique J Gallotta, LAC
General Practice Physician in Los Angeles, California
NPI 1699119552

Dominique J Gallotta is a General Practice Physician based in Los Angeles, CA. Dominique J Gallotta practices in Los Angeles, CA and has the professional credentials of LAC. The NPI Number for Dominique J Gallotta is 1699119552 and holds a License No. AC6769 (California).

The current practice location address for Dominique J Gallotta is 236 S Larchmont Blvd, Los Angeles, CA and can be reached out via phone at 323-377-2072.

Location: 236 S Larchmont Blvd, Los Angeles, CA, 90004-3711
person
Provider Profile Details
NPI Number
1699119552
Provider Name
Dominique J Gallotta
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
236 S Larchmont Blvd, Los Angeles, CA, 90004-3711
Phone Number
323-377-2072
Fax Number
Provider Enumeration Date
04/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
236 S Larchmont Blvd
City
State
Zip
90004-3711
Phone Number
323-377-2072
Fax Number
person
Provider Business Mailing Address Details
Address
236 S Larchmont Blvd
City
State
Zip
90004-3711
Phone Number
323-377-2072
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
AC6769 (California)
Definition
Definition to come...
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