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NPI Code Detail

MEDICARE: DR. ROEL DIZON FARRALES MD

MEDICARE:  DR. ROEL DIZON FARRALES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician232556NY
2207P00000XEmergency Medicine PhysicianA96148CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821073198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROEL DIZON FARRALES MD
Provider Business Mailing Address
First Line : PO BOX 410597
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94141-0597
Country : US
Telephone Number : 917-660-7790
Fax Number :
Provider Business Practice Location Address
First Line : 900 HYDE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4806
Country : US
Telephone Number : 415-441-6924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 09/24/2008

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Directions to “ DR. ROEL DIZON FARRALES MD” Practice Location

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