Healthcare Provider Details

I. General information

NPI: 1285635102
Provider Name (Legal Business Name): FRANCINE ATTERBERRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 11/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4314 W SLAUSON AVE
LOS ANGELES CA
90043-2808
US

IV. Provider business mailing address

4314 W SLAUSON AVE 2ND FLOOR
LOS ANGELES CA
90043-2808
US

V. Phone/Fax

Practice location:
  • Phone: 323-293-7171
  • Fax: 310-531-2241
Mailing address:
  • Phone: 323-298-2540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA052558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: