Provider Demographics
NPI:1447474770
Name:ARCHITECTOR, GALINA (PHD, PTA, RN)
Entity type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:ARCHITECTOR
Suffix:
Gender:F
Credentials:PHD, PTA, RN
Other - Prefix:
Other - First Name:GALINA
Other - Middle Name:
Other - Last Name:ARKHITECTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, PTA, RN
Mailing Address - Street 1:23303 SYLVAN ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1526
Mailing Address - Country:US
Mailing Address - Phone:818-887-9154
Mailing Address - Fax:818-887-7494
Practice Address - Street 1:23233 SATICOY ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-5300
Practice Address - Country:US
Practice Address - Phone:818-887-9111
Practice Address - Fax:818-887-7494
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 3985225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19992Medicare PIN