Fallon, Mitchell Thomas

Fallon, Mitchell Thomas is an individual health care provider with primary practice located at 520 Superior Ave Ste 300 , Newport Beach CA 92663-3668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fallon, Mitchell Thomas can be contacted via phone (949) 764-1411.

Contact Information

Primary practice address
520 Superior Ave Ste 300 Newport Beach CA 92663-3668
Phone: (949) 764-1411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21619 California

Profile Details

NPI number 1720366255
LBN Legal business name Fallon, Mitchell Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Apr 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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