Provider Demographics
NPI:1629232525
Name:FRANKFORT, REINA (LMT)
Entity Type:Individual
Prefix:MISS
First Name:REINA
Middle Name:
Last Name:FRANKFORT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6180 ANTIOCH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6180 ANTIOCH ST
Practice Address - Street 2:# 100
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2911
Practice Address - Country:US
Practice Address - Phone:510-339-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27079174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist