Healthcare Provider Details

I. General information

NPI: 1902996747
Provider Name (Legal Business Name): DAVID LAWRENCE FRANKLIN PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18881 VON KARMAN AVE STE 1227
IRVINE CA
92612-1103
US

IV. Provider business mailing address

18881 VON KARMAN AVE STE 1227
IRVINE CA
92612-1103
US

V. Phone/Fax

Practice location:
  • Phone: 951-827-7793
  • Fax:
Mailing address:
  • Phone: 951-827-7793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY20863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: