MS. DOMINIQUE J GALLOTTA LAC
NPI 1699119552
General Practice in Los Angeles, CA

Active since April 23, 2013
236 S LARCHMONT BLVD, LOS ANGELES, CA 90004(323) 377-2072 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Dominique J Gallotta Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DOMINIQUE J GALLOTTA LAC (NPI 1699119552) is an individual general practice provider in Los Angeles, California, licensed in California (AC6769) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1699119552
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMS. DOMINIQUE J GALLOTTACredential: LAC
Location Address236 S LARCHMONT BLVDLos Angeles, CA 90004-3711
Mailing Address236 S Larchmont BlvdLos Angeles, CA 90004-3711 · (323) 377-2072
Sole ProprietorYes
Enumeration DateApril 23, 2013
NPI 1699119552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · AC6769
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
236 S LARCHMONT BLVD, Los Angeles, CA 90004

Other Names 1

Professional Name (2)Ms. Dominique J Gallotta Ms

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Gallotta's NPI number?

The NPI number for Dominique Gallotta is 1699119552. It was assigned to this individual provider in the NPPES registry on April 23, 2013. The provider is also known as Ms. Dominique J Gallotta Ms.

Where is Dominique Gallotta located?

Dominique Gallotta practices at 236 S Larchmont Blvd, Los Angeles, CA 90004. The listed phone number is (323) 377-2072.

What is Dominique Gallotta's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Dominique Gallotta was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.