Healthcare Provider Details

I. General information

NPI: 1780245852
Provider Name (Legal Business Name): FRANCISCO Y SOSA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 N FAIR OAKS AVE
PASADENA CA
91103-3083
US

IV. Provider business mailing address

867 N FAIR OAKS AVE
PASADENA CA
91103-3083
US

V. Phone/Fax

Practice location:
  • Phone: 213-705-0168
  • Fax:
Mailing address:
  • Phone: 213-705-0168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: