Organization
FALLBROOK MEDICAL GROUP, INC
Active
Other names
Fallbrook Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA GORDON (PRACTICE ADMINISTRATOR)
(760) 731-0352
Entity
Organization
Contact information
Practice address
504 E ALVARADO ST STE 201, FALLBROOK, CA 92028-2364
(760) 731-0352
(760) 731-2151
Mailing address
504 E ALVARADO ST STE 201, FALLBROOK, CA 92028-2364
(760) 731-0352
(760) 731-2151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G23092
CA
207R00000X
Internal Medicine Physician
C36017
CA
208000000X
Pediatrics Physician
Primary
G36388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR00666880
—
CA
Enumeration date
02/16/2007
Last updated
09/11/2025
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