Fallon, Regis Francis

Fallon, Regis Francis is an sole proprietor health care provider with primary practice located at 14229 Palisades Dr , Poway CA 92064-6461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fallon, Regis Francis can be contacted via phone (858) 679-9201.

Contact Information

Primary practice address
14229 Palisades Dr Poway CA 92064-6461
Fax: (858) 486-1741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G60107 California

Profile Details

NPI number 1366657355
LBN Legal business name Fallon, Regis Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 18 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 1366657355 NPPES
California Other 00G601070 MEDI-CAL
California Other G60107 MEDI-CAL

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