Healthcare Provider Details

I. General information

NPI: 1245680990
Provider Name (Legal Business Name): JOSEPH FALCONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

101 THE CITY DR S BUILDING 200, SUITE 210
ORANGE CA
92868-3201
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7990
  • Fax: 757-668-7995
Mailing address:
  • Phone: 714-456-6966
  • Fax: 714-456-8212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101282444
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: