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Organization

SANDRA FALLON M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA PHILOMENA FALLON M.D. (PRESIDENT)
(310) 453-4455
Entity
Organization

Contact information

Practice address
2020 SANTA MONICA BLVD, SUITE 580, SANTA MONICA, CA 90404-2023
(310) 453-4455
(310) 453-8833
Mailing address
2020 SANTA MONICA BLVD, SUITE 580, SANTA MONICA, CA 90404-2023
(310) 453-4455
(310) 453-8833

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A46060
CA

Other

Enumeration date
02/26/2007
Last updated
01/21/2011
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