Healthcare Provider Details

I. General information

NPI: 1518878867
Provider Name (Legal Business Name): JOE FRANKLIN'S JOURNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 W. 54TH ST 1611 W. 54TH ST
L.A CA
90062
US

IV. Provider business mailing address

1611 W. 54TH ST
L.A CA
90062
US

V. Phone/Fax

Practice location:
  • Phone: 213-860-1318
  • Fax:
Mailing address:
  • Phone: 213-860-1318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. FRANNETTE TOLON
Title or Position: DIRECTOR
Credential:
Phone: 213-860-1318