Provider Demographics
NPI:1992768345
Name:PABALAN, FRANCISCO J (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:PABALAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6900 BROCKTON AVE
Mailing Address - Street 2:203
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3819
Mailing Address - Country:US
Mailing Address - Phone:951-682-4353
Mailing Address - Fax:951-682-6848
Practice Address - Street 1:6900 BROCKTON AVE
Practice Address - Street 2:203
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3819
Practice Address - Country:US
Practice Address - Phone:951-682-4353
Practice Address - Fax:951-682-6848
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2014-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG68449207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA330755118OtherFEDERAL TAX ID NUMBER
CA00G684490Medicare ID - Type Unspecified
CAF46046Medicare UPIN