Provider Demographics
NPI:1811696487
Name:FRANCIS, RICHARD SAMUEL (DPT)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:SAMUEL
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18260 VIA MADERA
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-5351
Mailing Address - Country:US
Mailing Address - Phone:714-722-1714
Mailing Address - Fax:
Practice Address - Street 1:2361 S AZUSA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-1537
Practice Address - Country:US
Practice Address - Phone:626-965-2334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA303818OtherCA PT NUMBER