NPI | 1457495046 |
---|---|
Doing Business As | FALLBROOK MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BARBARA GORDON Practice Administrator 760-731-0352 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G23092) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C36017) |
208000000X Pediatrics (Licence: CA G36388) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-08-22 |