Fiallo, Luis A.

Fiallo, Luis A. is an individual health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fiallo, Luis A. can be contacted via phone (760) 339-7202.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 92243-4306
Phone: (760) 339-7202
Fax: (760) 339-9904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X C51309 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X C51309 California

Profile Details

NPI number 1407824600
LBN Legal business name Fiallo, Luis A.
Credentials M.D., F.A.C.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 10th, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1407824600 NPPES
California MEDICAID 00C513090
California Other 1760644686

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