Provider Demographics
NPI:1194483644
Name:FALASCO, VICTORIA LYNNE (PA-C)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LYNNE
Last Name:FALASCO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:15725 POMERADO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2058
Mailing Address - Country:US
Mailing Address - Phone:760-610-0522
Mailing Address - Fax:760-610-0523
Practice Address - Street 1:15725 POMERADO RD STE 201
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2058
Practice Address - Country:US
Practice Address - Phone:760-610-0522
Practice Address - Fax:760-610-0523
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2025-02-05
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Provider Licenses
StateLicense IDTaxonomies
CAPA60230363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant