| Doctor Name: | DR. MARK STEVEN FALCONE |
| NPI Number: | 1083057251 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G27608 |
| Business Practice Address: | 2 S Alta Mira Rd Laguna Beach, CA - 926516712 |
| Business Phone Number: | 9494996283 |
| Business Fax Number: | 9494996583 |
| Mailing Address: | 2 S Alta Mira Rd, LAGUNA BEACH |
| State: | CA |
| Postal Code: | 926516712 |
| Phone Number: | 9494996283 |
| Fax Number: | 9494996583 |
| NPI Enumeration Date: | 04/08/2013 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | G27608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |