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1043416696

NPI Code Detail

MEDICARE: DR. JENNIFER A. FRANGOS D.O.

MEDICARE: DR. JENNIFER A. FRANGOS D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	2122	WV
2	207Q00000X	Family Medicine Physician	2122	WV
3	207Q00000X	Family Medicine Physician	34011609	OH
4	207Q00000X	Family Medicine Physician	036144558	IL
5	207Q00000X	Family Medicine Physician	297431	NY
6	207Q00000X	Family Medicine Physician	5101024644	MI
7	207Q00000X	Family Medicine Physician	OS16054	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043416696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER A. FRANGOS D.O.

Provider Business Mailing Address
First Line	:	123 W 18TH ST FL 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-4127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20500 BELSHAW AVE
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-3506
Country	:	US
Telephone Number	:	855-955-2439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	09/23/2025

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Directions to “ DR. JENNIFER A. FRANGOS D.O.” Practice Location

Language	Start Address	Practice Location

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