Michael Richard Vallo, M.D.

General Practice Physician · Vallejo, CA

Individual Active NPI

NPI number 1912083650

Practice location

1617 Broadway St
Vallejo, CA 94590-2406
Phone
(707) 556-3794

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NPI record

NPI
1912083650
Entity type
Individual (Type 1)
Enumeration date
October 27, 2006
Last updated
December 17, 2021
Certified
December 17, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X G069087 CA

Mailing address

399 King Rd
Petaluma, CA 94952-1008

About Dr. Vallo

Michael Richard Vallo, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1617 Broadway St, Vallejo, CA 94590-2406. The NPI number 1912083650 was assigned on October 27, 2006 and the record was last updated on December 17, 2021.

Dr. Vallo lists a license in the registry: #G069087 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Richard Vallo, M.D.?

The NPI number is 1912083650.

What is the phone number of Dr. Vallo?

The phone number listed for the practice location is (707) 556-3794.

Where is Dr. Vallo located?

1617 Broadway St, Vallejo, CA 94590-2406.

What is the taxonomy code for Dr. Vallo?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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