Healthcare Provider Details

I. General information

NPI: 1265189138
Provider Name (Legal Business Name): RICARDO FRANCO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 TRUXTUN AVE STE 200
BAKERSFIELD CA
93309-0656
US

IV. Provider business mailing address

4508 JOANNE AVE
BAKERSFIELD CA
93309-3228
US

V. Phone/Fax

Practice location:
  • Phone: 661-616-0090
  • Fax:
Mailing address:
  • Phone: 909-215-0656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: