Healthcare Provider Details

I. General information

NPI: 1528128535
Provider Name (Legal Business Name): AL ROBERT FRANCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AL ROBERT FRANCO M.D.

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11725 SLATE AVE SUITE 100
RIVERSIDE CA
92505-7100
US

IV. Provider business mailing address

11725 SLATE AVE SUITE 100
RIVERSIDE CA
92505-7100
US

V. Phone/Fax

Practice location:
  • Phone: 951-352-1700
  • Fax: 951-352-9110
Mailing address:
  • Phone: 951-352-1700
  • Fax: 951-352-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA35128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: