Fazzalaro, William

Fazzalaro, William is an individual health care provider with primary practice located at 447 Old Newport Blvd Suite 200, Newport Beach CA 92663-4257. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fazzalaro, William can be contacted via phone (949) 650-3350.

Contact Information

Primary practice address
447 Old Newport Blvd Suite 200 Newport Beach CA 92663-4257
Phone: (949) 650-3350
Fax: (949) 650-1274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA16754 California

Profile Details

NPI number 1912065228
LBN Legal business name Fazzalaro, William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 14th, 2018 - about 6 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 1912065228 NPPES
California Other 1750339479 GROUP NPI
California Other PA16754 GROUP NPI

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