Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Destiny Gallardo

Individual provider Rehabilitation Practitioner · NPI 1063211241

Alyssa Destiny Gallardo is a Rehabilitation Practitioner in Grand Terrace, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

21935 Van Buren St St A1
Grand Terrace, CA 92313
Phone: (909) 906-1023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1063211241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Other providers in Grand Terrace