Provider Demographics
NPI:1669955159
Name:DR. MARTIN FALAPPINO, FAMILY PRACTICE
Entity type:Organization
Organization Name:DR. MARTIN FALAPPINO, FAMILY PRACTICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FALAPPINO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:559-793-1008
Mailing Address - Street 1:365 PEARSON DR STE 7
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3360
Mailing Address - Country:US
Mailing Address - Phone:559-793-1008
Mailing Address - Fax:559-793-1045
Practice Address - Street 1:365 PEARSON DR STE 7
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3360
Practice Address - Country:US
Practice Address - Phone:559-793-1008
Practice Address - Fax:559-793-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care