Provider Demographics
NPI:1831181395
Name:ENRIQUEZ, RAQUEL FRANCO (MD)
Entity type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:FRANCO
Last Name:ENRIQUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RAQUEL
Other - Middle Name:
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5119 POMONA BLVD
Mailing Address - Street 2:MODULE 1
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1711
Mailing Address - Country:US
Mailing Address - Phone:800-954-8000
Mailing Address - Fax:
Practice Address - Street 1:5119 POMONA BLVD
Practice Address - Street 2:MODULE 1
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1711
Practice Address - Country:US
Practice Address - Phone:800-954-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80615207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology