Provider Demographics
NPI:1538309067
Name:RECALDE, FRANCISCO JOSE (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:RECALDE
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 1:7810 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2202
Mailing Address - Country:US
Mailing Address - Phone:562-644-4880
Mailing Address - Fax:562-250-0403
Practice Address - Street 1:1116 RIVES AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241
Practice Address - Country:US
Practice Address - Phone:562-250-0404
Practice Address - Fax:562-250-0403
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC41872174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist