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Organization
KATHRYN FALLON & ASSOCIATES
Active
Organization
KATHRYN FALLON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SELINA MEZA HERNANDEZ (ADM.)
(818) 346-2500
Entity
Organization
Contact information
Practice address
6700 FALLBROOK AVE, SUITE 190, WEST HILLS, CA 91307-3530
(818) 346-2500
(818) 346-2514
Mailing address
6700 FALLBROOK AVE, SUITE 190, WEST HILLS, CA 91307-3530
(818) 346-2500
(818) 346-2514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WYO74
MEDICARE PROVIDER
CA
Enumeration date
01/21/2008
Last updated
01/21/2008
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