Provider Demographics
NPI:1821267568
Name:TERRY L FRANKLIN M.D.
Entity Type:Organization
Organization Name:TERRY L FRANKLIN M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-647-3190
Mailing Address - Street 1:PO BOX 2121
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-2121
Mailing Address - Country:US
Mailing Address - Phone:831-647-3190
Mailing Address - Fax:831-373-1007
Practice Address - Street 1:2 UPPER RAGSDALE DR
Practice Address - Street 2:SUITE B110
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5736
Practice Address - Country:US
Practice Address - Phone:831-647-3190
Practice Address - Fax:831-373-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ25791ZOtherMEDICARE ZZZ#
CAA41028Medicare UPIN
CA00G206930Medicare PIN
CAG00075Medicare UPIN
CA00A431150Medicare PIN