Fallejo, Samuel N.

Fallejo, Samuel N. is an individual health care provider with primary practice located at 395 Hickey Blvd Eye Services Dept, 5Th Floor, Daly City CA 94015-2770. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fallejo, Samuel N. can be contacted via phone (650) 301-5873.

Contact Information

Primary practice address
395 Hickey Blvd Eye Services Dept, 5Th Floor Daly City CA 94015-2770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10885T California

Profile Details

NPI number 1912050055
LBN Legal business name Fallejo, Samuel N.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Jan 3rd, 2022 - about 2 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.

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