Provider Demographics
NPI:1821222811
Name:FRANCISCO, ISMAEL (LLC)
Entity Type:Individual
Prefix:PROF
First Name:ISMAEL
Middle Name:
Last Name:FRANCISCO
Suffix:
Gender:M
Credentials:LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 MILLUX AVE
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-3342
Mailing Address - Country:US
Mailing Address - Phone:562-222-4855
Mailing Address - Fax:323-370-6759
Practice Address - Street 1:531 E 36TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011
Practice Address - Country:US
Practice Address - Phone:562-222-4855
Practice Address - Fax:323-370-6759
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver