Healthcare Provider Details

I. General information

NPI: 1457530180
Provider Name (Legal Business Name): MONSITA JOSEFA FALEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONSITA JOSEFA BROWN

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SCRIPPS CLINIC MEDICAL GROUP 9898 GENESEE AVE
LA JOLLA CA
92037
US

IV. Provider business mailing address

550 BURTON CT.
CARLSBAD CA
92011
US

V. Phone/Fax

Practice location:
  • Phone: 858-824-5400
  • Fax: 858-964-3126
Mailing address:
  • Phone: 530-784-0186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: