Healthcare Provider Details

I. General information

NPI: 1144409400
Provider Name (Legal Business Name): MICHAEL P FALVEY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LOMITA BLVD #150
TORRANCE CA
90505
US

IV. Provider business mailing address

3440 LOMITA BLVD #150
TORRANCE CA
90505
US

V. Phone/Fax

Practice location:
  • Phone: 310-530-7950
  • Fax: 310-530-2146
Mailing address:
  • Phone: 310-530-7950
  • Fax: 310-530-2146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG25111
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL P FALVEY
Title or Position: OWNER
Credential: MD
Phone: 310-530-7950