Individual
MADELEINE KATE FAJILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26024 ACERO, MISSION VIEJO, CA 92691-2768
(714) 545-5550
Mailing address
19782 MACARTHUR BLVD STE 300, IRVINE, CA 92612-2417
(714) 545-5550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA65353
CA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PA65353
CA
Other
Enumeration date
09/11/2019
Last updated
08/29/2025
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