MEDICARE: ANGELICA FRANCO

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1225467855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA FRANCO

Provider Business Mailing Address
First Line	:	10221 COMPTON AVE STE 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90002-2805
Country	:	US
Telephone Number	:	310-783-4677
Fax Number	:

Provider Business Practice Location Address
First Line	:	10221 COMPTON AVE STE 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90002-2805
Country	:	US
Telephone Number	:	310-783-4677
Fax Number	:

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

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	11/04/2013

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Directions to “ ANGELICA FRANCO ” Practice Location

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