Provider Demographics
NPI:1154802445
Name:GALVIN, KARINA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:LYNN
Last Name:GALVIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 CALLE DE LAS FOCAS
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-4538
Mailing Address - Country:US
Mailing Address - Phone:949-702-3279
Mailing Address - Fax:
Practice Address - Street 1:3818 CALLE DE LAS FOCAS
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4538
Practice Address - Country:US
Practice Address - Phone:949-702-3279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant