Provider Demographics
NPI:1164900312
Name:FRANGIE, PHILLIP (RRT)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:
Last Name:FRANGIE
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:MR
Other - First Name:PHILLIP
Other - Middle Name:A
Other - Last Name:FRANGIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RCP
Mailing Address - Street 1:803 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1419
Mailing Address - Country:US
Mailing Address - Phone:619-213-8016
Mailing Address - Fax:
Practice Address - Street 1:4650 PALM AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-8404
Practice Address - Country:US
Practice Address - Phone:619-662-5489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6312227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered