person
William Fazzalaro, PA-C
Surgical Physician Assistant in Newport Beach, California
NPI 1912065228

William Fazzalaro is a Surgical Physician Assistant based in Newport Beach, CA and is specialized in Surgical. William Fazzalaro practices in Newport Beach, CA and has the professional credentials of PA-C. The NPI Number for William Fazzalaro is 1912065228 and holds a License No. PA16754 (California).

The current practice location address for William Fazzalaro is 447 Old Newport Blvd, Newport Beach, CA and can be reached out via phone at 949-650-3350 and via fax at 949-650-1274.

Location: 447 Old Newport Blvd, Newport Beach, CA, 92663-4257
person
Provider Profile Details
NPI Number
1912065228
Provider Name
William Fazzalaro
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
447 Old Newport Blvd, Newport Beach, CA, 92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750339479 01 CA GROUP NPI
PA16754 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
447 Old Newport Blvd
City
State
Zip
92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
person
Provider Business Mailing Address Details
Address
447 Old Newport Blvd
City
State
Zip
92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA16754 (California)
Definition
Definition to come...
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