Fa, Jesse Michael

Fa, Jesse Michael is an sole proprietor health care provider with primary practice located at 2201 Balfour Rd Ste E , Brentwood CA 94513-4927. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fa, Jesse Michael can be contacted via phone (925) 308-7908.

Contact Information

Primary practice address
2201 Balfour Rd Ste E Brentwood CA 94513-4927
Fax: (925) 308-7910
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 55360 California

Profile Details

NPI number 1629291091
LBN Legal business name Fa, Jesse Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Apr 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers