Provider Demographics
NPI:1932899663
Name:FALCK PHYSICIANS GROUP CORPORATION
Entity Type:Organization
Organization Name:FALCK PHYSICIANS GROUP CORPORATION
Other - Org Name:CONTINUEM EMERGENCY MEDICINE AND COMPREHENSIVE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTELO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-210-8895
Mailing Address - Street 1:1517 W BRADEN CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1125
Mailing Address - Country:US
Mailing Address - Phone:310-210-8895
Mailing Address - Fax:562-461-0082
Practice Address - Street 1:6430 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-1713
Practice Address - Country:US
Practice Address - Phone:562-731-3990
Practice Address - Fax:562-461-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty