Provider Demographics
NPI:1104216563
Name:FRANKERA, FLORENTINO
Entity type:Individual
Prefix:
First Name:FLORENTINO
Middle Name:
Last Name:FRANKERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DODJIE
Other - Middle Name:F
Other - Last Name:FRANKERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4794 GLENALBYN DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-5002
Mailing Address - Country:US
Mailing Address - Phone:323-552-8195
Mailing Address - Fax:
Practice Address - Street 1:4794 GLENALBYN DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-5002
Practice Address - Country:US
Practice Address - Phone:323-552-8195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA911282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital