Jeffrey, James Fallon

Jeffrey, James Fallon is an individual health care provider with primary practice located at 25461 Rancho Niguel Rd , Laguna Niguel CA 92677-7304. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jeffrey, James Fallon can be contacted via phone (949) 535-1199.

Contact Information

Primary practice address
25461 Rancho Niguel Rd Laguna Niguel CA 92677-7304
Phone: (949) 535-1199
Fax: (949) 535-1109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-9101291 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA- 9101291 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-54805 California

Profile Details

NPI number 1013074004
LBN Legal business name Jeffrey, James Fallon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 15th, 2021 - about 4 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 1013074004 NPPES
Florida Other PA-9101291 PA LICENSE #

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