Provider Demographics
NPI:1275997223
Name:RIVERA-CALONJE, FRANCHESCA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCHESCA
Middle Name:MARIE
Last Name:RIVERA-CALONJE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:616 ST PAUL AVE APT 729
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-5646
Mailing Address - Country:US
Mailing Address - Phone:703-201-7047
Mailing Address - Fax:
Practice Address - Street 1:15107 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4542
Practice Address - Country:US
Practice Address - Phone:818-782-6600
Practice Address - Fax:818-904-3774
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA156587207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology