Healthcare Provider Details

I. General information

NPI: 1699844621
Provider Name (Legal Business Name): FRANCISCO S. PARDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 1ST AVE SUITE 200B
SAN DIEGO CA
92101
US

IV. Provider business mailing address

2140 HAYDEN WAY
SAN DIEGO CA
92110-2126
US

V. Phone/Fax

Practice location:
  • Phone: 619-793-7988
  • Fax: 619-269-4302
Mailing address:
  • Phone: 619-793-7988
  • Fax: 619-269-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG57474
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG57474
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG57474
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2085H0002X
TaxonomyHospice and Palliative Medicine (Radiology) Physician
License NumberG57474
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberG57474
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberG57474
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberG57474
License Number StateCA
# 8
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberG57474
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: