Healthcare Provider Details

I. General information

NPI: 1831035948
Provider Name (Legal Business Name): FRANCELLA FIERRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

797 S DEL MAR AVE
SAN GABRIEL CA
91776-2419
US

IV. Provider business mailing address

797 S DEL MAR AVE
SAN GABRIEL CA
91776-2419
US

V. Phone/Fax

Practice location:
  • Phone: 626-512-2555
  • Fax:
Mailing address:
  • Phone: 626-512-2555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: