Healthcare Provider Details

I. General information

NPI: 1114494192
Provider Name (Legal Business Name): ANTHONY T FRANK ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 W PARK AVE
REDLANDS CA
92373-8178
US

IV. Provider business mailing address

10863 LORO VERDE AVE
LOMA LINDA CA
92354-2574
US

V. Phone/Fax

Practice location:
  • Phone: 909-283-7528
  • Fax: 909-403-6945
Mailing address:
  • Phone: 407-257-9327
  • Fax: 909-403-6945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1030
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: