OrganizationAna V GallardoDentistDental ProvidersPractice AddressAve Via Rapida Poniente 4642, Tijuana, BC 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Ana V Gallardo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487366845Provider TypeOrganizationFull NameAna V GallardoSubpartNoEnumeration Date12/16/2022Last Updated12/16/2022Contact InformationPractice LocationPractice AddressAve Via Rapida Poniente 4642, Tijuana, BC 22010 (Mexico)Phone(619) 488-3200Fax(619) 908-1095Mailing LocationMailing Address4275 Executive Sq Ste 302, La Jolla, CA 92037-9123PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGallardo, Ana V (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer