Healthcare Provider Details

I. General information

NPI: 1639190895
Provider Name (Legal Business Name): FRANCISCO J PABALAN M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 BROCKTON AVE 203
RIVERSIDE CA
92506-3819
US

IV. Provider business mailing address

6900 BROCKTON AVE 203
RIVERSIDE CA
92506-3819
US

V. Phone/Fax

Practice location:
  • Phone: 951-682-4353
  • Fax: 951-682-6848
Mailing address:
  • Phone: 951-682-4353
  • Fax: 951-682-6848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG684490
License Number StateCA

VIII. Authorized Official

Name: DR. FRANCISCO J. PABALAN
Title or Position: PHYSICIAN OWNER CEO
Credential: M D
Phone: 951-682-4353