Individual
DR. JULIE S FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11420 WARNER AVE, FOUNTAIN VALLEY, CA 92708-2529
(714) 549-1300
(714) 433-3100
Mailing address
2742 DOW AVE, TUSTIN, CA 92780-7242
(714) 665-1600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A78180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A781800
—
CA
Enumeration date
10/26/2005
Last updated
03/31/2011
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