Provider Demographics
NPI:1215008552
Name:FRANCIS, LARRY N (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:N
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 VALE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5218
Mailing Address - Country:US
Mailing Address - Phone:760-631-5000
Mailing Address - Fax:760-414-3702
Practice Address - Street 1:30195 FRASER DR
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-7006
Practice Address - Country:US
Practice Address - Phone:951-252-2720
Practice Address - Fax:760-414-3892
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA34827207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAF9080211OtherDEA
CAA34827Medicare UPIN