Provider Demographics
NPI:1376989657
Name:BUGARIN, FRANCIS MARLON SUAREZ (LAC)
Entity Type:Individual
Prefix:
First Name:FRANCIS MARLON
Middle Name:SUAREZ
Last Name:BUGARIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 SAN JOAQUIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-4947
Mailing Address - Country:US
Mailing Address - Phone:415-794-3206
Mailing Address - Fax:
Practice Address - Street 1:1996 UNION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4230
Practice Address - Country:US
Practice Address - Phone:415-441-5659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15167171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist