Individual provider · NPI-1

Dr. Luis A. Fiallo, M.D., F.A.C.P.

Internal Medicine, Critical Care Medicine · El Centro, CA

NPI number1407824600
StatusActive
Last updated in NPPESApr 10, 2020

Details

NPI
1407824600
Entity type
Individual (NPI-1)
Name
Dr. Luis A. Fiallo
Credential
M.D., F.A.C.P.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2006
Certification date
Apr 10, 2020
Last updated
Apr 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care MedicineC51309CAYes
207RP1001X Internal Medicine, Pulmonary DiseaseC51309CA

Practice location

1415 Ross Ave
El Centro, CA 92243-4306

Phone 760-339-7202 · Fax 760-339-9904

Mailing address

23845 Mcbean Pkwy
Valencia, CA 91355-2001

Phone 661-200-1122 · Fax 661-200-1119

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