Healthcare Provider Details

I. General information

NPI: 1003835059
Provider Name (Legal Business Name): FRANCES ANNA DUDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. FRANCES ANNA REYNARD

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31862 COAST HWY STE 203
LAGUNA BEACH CA
92651-9494
US

IV. Provider business mailing address

31862 COAST HWY STE 203
LAGUNA BEACH CA
92651-9494
US

V. Phone/Fax

Practice location:
  • Phone: 949-499-7449
  • Fax: 949-499-7449
Mailing address:
  • Phone: 949-499-7449
  • Fax: 949-499-7449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG20545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: