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

Martin Gallardo, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043917776

Martin Gallardo, RADT is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1003 S Beacon St
San Pedro, CA 90731-4324
Phone: (310) 514-4940
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1495280123 (CA)

Record details

NPI number1043917776
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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