Provider Demographics
NPI:1699935783
Name:GAL AHARONOV, M.D.
Entity type:Organization
Organization Name:GAL AHARONOV, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHARONOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-276-1126
Mailing Address - Street 1:462 N LINDEN DR
Mailing Address - Street 2:STE. 240
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2247
Mailing Address - Country:US
Mailing Address - Phone:310-276-1126
Mailing Address - Fax:310-276-1127
Practice Address - Street 1:462 N LINDEN DR
Practice Address - Street 2:STE. 240
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2247
Practice Address - Country:US
Practice Address - Phone:310-276-1126
Practice Address - Fax:310-276-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98463174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty