Provider Demographics
NPI:1114814423
Name:GALANG, CHRISTIAN MARCELO
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:MARCELO
Last Name:GALANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7923 BARNTUCKET AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-4772
Mailing Address - Country:US
Mailing Address - Phone:702-418-7095
Mailing Address - Fax:
Practice Address - Street 1:7923 BARNTUCKET AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-4772
Practice Address - Country:US
Practice Address - Phone:702-418-7095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV887323163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse