Fallon, Sandra Philomena

Fallon, Sandra Philomena is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Suite 580, Santa Monica CA 90404-2023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Fallon, Sandra Philomena can be contacted via phone (310) 453-4455.

Contact Information

Primary practice address
2020 Santa Monica Blvd Suite 580 Santa Monica CA 90404-2023
Phone: (310) 453-4455
Fax: (310) 453-8833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A46060 California

Profile Details

NPI number 1801947312
LBN Legal business name Fallon, Sandra Philomena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Jan 21st, 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 1801947312 NPPES
California Other A46060 CA STATE LICENSE
California Other WA46060E CA STATE LICENSE

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