Provider Demographics
NPI:1285922807
Name:FRANKE, DAVID ARNOLD
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ARNOLD
Last Name:FRANKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DAVE
Other - Middle Name:
Other - Last Name:FRANKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:383 3RD ST
Mailing Address - Street 2:#208
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2313
Mailing Address - Country:US
Mailing Address - Phone:949-689-5757
Mailing Address - Fax:
Practice Address - Street 1:383 3RD ST
Practice Address - Street 2:#208
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2313
Practice Address - Country:US
Practice Address - Phone:949-689-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-17
Last Update Date:2011-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 21271363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant