Individual provider · Type 1 NPI

Fallon Perriera

Nurse Practitioner · Los Angeles, CA

NPI number 1194681759 Active

Practice location

1127 Wilshire Blvd Ste 1509
Los Angeles, CA 90017-4006

Mailing address

1221 W 3rd St Apt 729
Los Angeles, CA 90017-5198

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95037732 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194681759

Fallon Perriera's National Provider Identifier is 1194681759, issued on Dec 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 29, 2025.