Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 49879 | CA |
Y | 213EG0000X | General Practice | 49879 | CA |
NPI | 1003091489 |
---|---|
Provider Name | Dr. Julian Falabella |
First Address | El Monte, CA 91732-3153 |
Second Address | El Monte, CA 91732-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |