Healthcare Provider Details

I. General information

NPI: 1528010964
Provider Name (Legal Business Name): ROSINA FRANCO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 SAN JULIAN ST
LOS ANGELES CA
90015-3142
US

IV. Provider business mailing address

PO BOX 70304
PASADENA CA
91117-7304
US

V. Phone/Fax

Practice location:
  • Phone: 213-202-7584
  • Fax: 213-580-6559
Mailing address:
  • Phone: 213-202-7584
  • Fax: 213-580-6559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA54793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: