Provider Demographics
NPI:1841628641
Name:FALLBROOK HEALTHCARE PARTNERS
Entity type:Organization
Organization Name:FALLBROOK HEALTHCARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-628-6038
Mailing Address - Street 1:591 E ELDER ST
Mailing Address - Street 2:SUITE 591C
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-5001
Mailing Address - Country:US
Mailing Address - Phone:760-731-8989
Mailing Address - Fax:
Practice Address - Street 1:591 E ELDER ST
Practice Address - Street 2:SUITE 591C
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-5001
Practice Address - Country:US
Practice Address - Phone:760-731-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty