Provider Demographics
NPI:1760406979
Name:BRINGAS-JORGAN, FRANCISCO E (PA-C)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:E
Last Name:BRINGAS-JORGAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:HENRY
Other - Middle Name:
Other - Last Name:BRINGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:39700 BOB HOPE DRIVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-7103
Mailing Address - Country:US
Mailing Address - Phone:760-340-5545
Mailing Address - Fax:760-346-6208
Practice Address - Street 1:39700 BOB HOPE DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-7103
Practice Address - Country:US
Practice Address - Phone:760-340-5545
Practice Address - Fax:760-346-6208
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA17834363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q61718Medicare UPIN
0PA178340Medicare ID - Type UnspecifiedMEDICARE NUMBER