Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G76023 | CA |
NPI | 1114037033 |
---|---|
Provider Name | Dr. Stephen John Franzino |
First Address | Fremont, CA 94538-5818 |
Second Address | Fremont, CA 94536-5279 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 05/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G53148 | (02) | CA |