Provider Demographics
NPI:1730489535
Name:GALYON, KRISTINA (DO)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:
Last Name:GALYON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:15775 LAGUNA CANYON RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3189
Mailing Address - Country:US
Mailing Address - Phone:949-366-7337
Mailing Address - Fax:949-336-7336
Practice Address - Street 1:15775 LAGUNA CANYON RD
Practice Address - Street 2:SUITE 160
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3189
Practice Address - Country:US
Practice Address - Phone:949-336-7337
Practice Address - Fax:949-336-7336
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CA20A11527207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program