Healthcare Provider Details

I. General information

NPI: 1376989657
Provider Name (Legal Business Name): FRANCIS MARLON SUAREZ BUGARIN L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1996 UNION ST
SAN FRANCISCO CA
94123-4230
US

IV. Provider business mailing address

1454 SAN JOAQUIN ST
RICHMOND CA
94804-4947
US

V. Phone/Fax

Practice location:
  • Phone: 415-441-5659
  • Fax:
Mailing address:
  • Phone: 415-794-3206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number15167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: