Provider Demographics
NPI:1528128535
Name:FRANCO, AL ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:AL
Middle Name:ROBERT
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AL
Other - Middle Name:ROBERT
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11725 SLATE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-7100
Mailing Address - Country:US
Mailing Address - Phone:951-352-1700
Mailing Address - Fax:951-352-9110
Practice Address - Street 1:11725 SLATE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-7100
Practice Address - Country:US
Practice Address - Phone:951-352-1700
Practice Address - Fax:951-352-9110
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35128207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ34392ZOtherMEDICARE GROUP ID #
CA05D0575313OtherCLIA # OF ARTHRITIS CENTE
CAA27688Medicare UPIN
CAA35128Medicare ID - Type UnspecifiedSTATE LICENSE
CAA27688Medicare UPIN