Provider Demographics
NPI:1598709123
Name:ADA, FRANCES PEREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:PEREZ
Last Name:ADA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4156 MANZANITA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1496
Mailing Address - Country:US
Mailing Address - Phone:916-483-5400
Mailing Address - Fax:916-483-3790
Practice Address - Street 1:4156 MANZANITA AVE
Practice Address - Street 2:STE 100
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1496
Practice Address - Country:US
Practice Address - Phone:916-483-5400
Practice Address - Fax:916-483-3790
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2012-09-26
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Provider Licenses
StateLicense IDTaxonomies
CAG76529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F44827Medicare UPIN