Healthcare Provider Details

I. General information

NPI: 1669896502
Provider Name (Legal Business Name): CAMERON STEWART FRANCIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2014
Last Update Date: 02/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 SAN PABLO ST SUITE 415
LOS ANGELES CA
90033-5320
US

IV. Provider business mailing address

1510 SAN PABLO ST SUITE 415
LOS ANGELES CA
90033-5320
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-7903
  • Fax: 323-442-7901
Mailing address:
  • Phone: 323-442-7903
  • Fax: 323-442-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA128597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: