Provider Demographics
NPI:1780018960
Name:MALANTIC, FRANCES ABIGAIL PEREZ (NP)
Entity Type:Individual
Prefix:
First Name:FRANCES ABIGAIL
Middle Name:PEREZ
Last Name:MALANTIC
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12131 CARSON ST
Mailing Address - Street 2:
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-1154
Mailing Address - Country:US
Mailing Address - Phone:562-809-0299
Mailing Address - Fax:
Practice Address - Street 1:12131 CARSON ST
Practice Address - Street 2:
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716-1154
Practice Address - Country:US
Practice Address - Phone:562-809-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-24
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily