Basic Information
Provider Information
NPI: 1932401791
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAVARRO
FirstName: FRANCISCO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: A99803
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 940 AVENUE 64
Address2:  
City: PASADENA
State: CA
PostalCode: 911052711
CountryCode: US
TelephoneNumber: 3232542274
FaxNumber:  
Practice Location
Address1: 940 AVENUE 64
Address2:  
City: PASADENA
State: CA
PostalCode: 911052711
CountryCode: US
TelephoneNumber: 3232542274
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/30/2010
LastUpdateDate: 11/30/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804XA99803CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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