Healthcare Provider Details

I. General information

NPI: 1205044104
Provider Name (Legal Business Name): DENICHE FRANCIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9449 IMPERIAL HWY
DOWNEY CA
90242-2814
US

IV. Provider business mailing address

1429 W 92ND ST
LOS ANGELES CA
90047-3628
US

V. Phone/Fax

Practice location:
  • Phone: 310-956-0112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number18997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: