Basic Information
Provider Information
NPI: 1467077313
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCO
FirstName: PAOLA
MiddleName: MARGARITA
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9101 WHITTIER BLVD
Address2:  
City: PICO RIVERA
State: CA
PostalCode: 906602405
CountryCode: US
TelephoneNumber: 5628014626
FaxNumber:  
Practice Location
Address1: 9101 WHITTIER BLVD
Address2:  
City: PICO RIVERA
State: CA
PostalCode: 906602405
CountryCode: US
TelephoneNumber: 5628014626
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/16/2020
LastUpdateDate: 03/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800X96676CAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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