Basic Information
Provider Information
NPI: 1740210657
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THOMPSON GALLEGO
FirstName: JULIA
MiddleName: ANNA
NamePrefix: MS.
NameSuffix:  
Credential: N.P., M.S.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GALLETLY
OtherFirstName: JULIA
OtherMiddleName: ANNA
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 2982 MARLBORO WAY
Address2:  
City: SAN RAMON
State: CA
PostalCode: 945832737
CountryCode: US
TelephoneNumber: 9257861127
FaxNumber:  
Practice Location
Address1: 1001 POTRERO AVENUE, DEPT. OF NEUROSURGERY
Address2: SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER
City: SAN FRANCISCO
State: CA
PostalCode: 941103594
CountryCode: US
TelephoneNumber: 4152063219
FaxNumber: 4155024985
Other Information
ProviderEnumerationDate: 07/04/2006
LastUpdateDate: 02/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WM0705XRN536368CAN Nursing Service ProvidersRegistered NurseMedical-Surgical
363LA2100XNP15870CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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