Provider Demographics
NPI:1134156904
Name:SEGAL, FRANCES J (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:J
Last Name:SEGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27800 MEDICAL CENTER RD
Mailing Address - Street 2:SUITE 361
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6410
Mailing Address - Country:US
Mailing Address - Phone:949-364-2904
Mailing Address - Fax:949-364-4404
Practice Address - Street 1:27800 MEDICAL CENTER RD
Practice Address - Street 2:SUITE 361
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6410
Practice Address - Country:US
Practice Address - Phone:949-364-2904
Practice Address - Fax:949-364-4404
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45395174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50017Medicare UPIN
CAG45395AMedicare ID - Type Unspecified