| Marie Pearl C. Francisco, Md, Inc | |
|
1805 N California St Suite 206 Stockton CA 95204-6037 | |
| (209) 948-3009 | |
| (209) 948-3003 |
| Full Name | Marie Pearl C. Francisco, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1805 N California St, Stockton, California |
| Authorized Official Name and Position | Marie Pearl Francisco (PRESIDENT) |
| Authorized Official Contact | 2099483009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Pearl C. Francisco, Md, Inc 4685 Pine Valley Cir Stockton CA 95219-1881 Ph: (209) 956-5218 | Marie Pearl C. Francisco, Md, Inc 1805 N California St Suite 206 Stockton CA 95204-6037 Ph: (209) 948-3009 |
| NPI Number | 1770721649 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 08/25/2015 |
| Medicare PECOS PAC ID | 6507918422 |
|---|---|
| Medicare Enrollment ID | O20090723000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770721649 | NPI | - | NPPES |
| 00A91644 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A91644 (California) | Primary |
| Provider Name | Marie Pearl Francisco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598721003 PECOS PAC ID: 7012938624 Enrollment ID: I20051212000156 |
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