Provider Demographics
NPI:1063446722
Name:GONZALEZ-SCARANO, FRANCISCO ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:GONZALEZ-SCARANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANCISCO
Other - Middle Name:ANTONIO
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-5710
Mailing Address - Fax:
Practice Address - Street 1:1520 SAN PABLO ST STE 3000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5315
Practice Address - Country:US
Practice Address - Phone:323-442-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPHYTEMP2084N0400X
PAMD018353E2084N0400X
CAG1592032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219480501Medicaid
TX219480501Medicaid