Organization Name: | FRANCISCO J. CORREA, M.D., INC |
NPI Number: | 1376735340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCISCO J CORREA (PRESIDENT) |
Mailing Address: | 1350 W. 6th St #3 San Pedro |
State: | CA US |
Postal Code: | 90732 |
Phone Number: | 3102411000 |
Fax Number: | 3102410086 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A73565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |