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Organization
LINDA S FALCONIO M.D., INC
Active
Organization
LINDA S FALCONIO M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S FALCONIO M.D. (PHYSICIAN PRESIDENT)
(760) 631-4000
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, STE 130, VISTA, CA 92083-6031
(760) 631-4000
(760) 631-4008
Mailing address
2067 W VISTA WAY, STE 130, VISTA, CA 92083-6031
(760) 631-4000
(760) 631-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G37851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G37851
STATE LICENSE
CA
05
—
GR0068920
—
CA
Enumeration date
04/03/2007
Last updated
12/30/2014
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