Provider Demographics
NPI:1114939006
Name:MENTEER, FRANCOISE GIAO PHUONG (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCOISE
Middle Name:GIAO PHUONG
Last Name:MENTEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W JANSS RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1848
Mailing Address - Country:US
Mailing Address - Phone:805-449-4181
Mailing Address - Fax:805-494-9152
Practice Address - Street 1:227 W JANSS RD
Practice Address - Street 2:SUITE 305
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1848
Practice Address - Country:US
Practice Address - Phone:805-449-4181
Practice Address - Fax:805-494-9152
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87264207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH13876Medicare UPIN