Healthcare Provider Details

I. General information

NPI: 1699916783
Provider Name (Legal Business Name): FRANCISCO CUADROS MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VETERANS BLVD
REDWOOD CITY CA
94063-2612
US

IV. Provider business mailing address

1400 VETERANS BLVD
REDWOOD CITY CA
94063-2612
US

V. Phone/Fax

Practice location:
  • Phone: 650-299-4754
  • Fax:
Mailing address:
  • Phone: 650-299-4754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number45907
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: