Healthcare Provider Details

I. General information

NPI: 1124532171
Provider Name (Legal Business Name): ALLEA JEWEL FRANCIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13891 NEWPORT AVE STE 285
TUSTIN CA
92780-7840
US

IV. Provider business mailing address

13891 NEWPORT AVE STE 285
TUSTIN CA
92780-7840
US

V. Phone/Fax

Practice location:
  • Phone: 714-770-8222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number294148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: