Provider Demographics
NPI:1235445719
Name:BRIONES, FRANCISCO RAVINA (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:RAVINA
Last Name:BRIONES
Suffix:
Gender:M
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:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91788-0391
Mailing Address - Country:US
Mailing Address - Phone:909-606-5091
Mailing Address - Fax:909-606-5025
Practice Address - Street 1:15180 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-9148
Practice Address - Country:US
Practice Address - Phone:909-606-5091
Practice Address - Fax:909-606-5025
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAO50166208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice