Search › California › 163WP0808X
Mallory Fawns
NPI 1821493859 · on the registry since 2014
Practice
- Address
- 6501 Coyle Ave
Carmichael, CA 95608 - Phone
- (916) 537-5550
- Organisation at this address
- Dignity Health
Chw Medical Foundation
Cep America - California
Goradia Medical Corporation
Cep America - Psychiatry PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 188
Additional practice sites
- 101 Cirby Hills Dr, Roseville, CA
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California