Organization Name: | FALLBROOK MEDICAL CENTER, INC |
NPI Number: | 1881988814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALVARO BERRIOS (VICE- PRESIDENT) |
Mailing Address: | 593 E Elder St Suite B Fallbrook |
State: | CA US |
Postal Code: | 920285000 |
Phone Number: | 7607235900 |
Fax Number: | 7607235906 |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |