Fallon, Julie S

Fallon, Julie S is an individual health care provider with primary practice located at 11420 Warner Ave , Fountain Valley CA 92708-2529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fallon, Julie S can be contacted via phone (714) 549-1300.

Contact Information

Primary practice address
11420 Warner Ave Fountain Valley CA 92708-2529
Fax: (714) 433-3100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A78180 California

Profile Details

NPI number 1891785234
LBN Legal business name Fallon, Julie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 31st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891785234 NPPES
California MEDICAID 00A781800

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