Provider Demographics
NPI:1457532921
Name:FRANCISCO, PAUL
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:FRANCISCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41299 PASEO PADRE PKWY
Mailing Address - Street 2:APT. # 12
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-4551
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41299 PASEO PADRE PKWY
Practice Address - Street 2:APT. # 12
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-4551
Practice Address - Country:US
Practice Address - Phone:510-209-9889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)