MEDICARE: FLORENTINO FRANKERA

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	282N00000X	General Acute Care Hospital	911	CA

General Provider Information

NPI Number	:	1104216563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORENTINO FRANKERA

Provider Business Mailing Address
First Line	:	4794 GLENALBYN DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-5002
Country	:	US
Telephone Number	:	323-552-8195
Fax Number	:

Provider Business Practice Location Address
First Line	:	4794 GLENALBYN DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-5002
Country	:	US
Telephone Number	:	323-552-8195
Fax Number	:

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

Provider Enumeration Date	:	01/23/2015
Last Update Date	:	01/23/2015

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Directions to “ FLORENTINO FRANKERA ” Practice Location

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