Provider Demographics
NPI:1003835059
Name:DUDA, FRANCES ANNA (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:ANNA
Last Name:DUDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:FRANCES
Other - Middle Name:ANNA
Other - Last Name:REYNARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31862 COAST HWY
Mailing Address - Street 2:STE 203
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-9494
Mailing Address - Country:US
Mailing Address - Phone:949-499-7449
Mailing Address - Fax:949-499-7449
Practice Address - Street 1:31862 COAST HWY
Practice Address - Street 2:STE 203
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-9494
Practice Address - Country:US
Practice Address - Phone:949-499-7449
Practice Address - Fax:949-499-7449
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20545208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics