Healthcare Provider Details

I. General information

NPI: 1861388266
Provider Name (Legal Business Name): MISS DIANNE JAN FRANCISCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 710145
SAN DIEGO CA
92171-0145
US

IV. Provider business mailing address

PO BOX 552
BONITA CA
91908-0552
US

V. Phone/Fax

Practice location:
  • Phone: 619-346-4020
  • Fax:
Mailing address:
  • Phone: 619-621-4853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number114154
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: