Basic Information
Provider Information
NPI: 1063513000
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCISCO
FirstName: CORAZON
MiddleName: ESCUSA
NamePrefix: MISS
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1642 MARINERO PL
Address2:  
City: OXNARD
State: CA
PostalCode: 930302568
CountryCode: US
TelephoneNumber: 7149064825
FaxNumber:  
Practice Location
Address1: 23181 VERDUGO DR STE 103A
Address2:  
City: LAGUNA HILLS
State: CA
PostalCode: 926531313
CountryCode: US
TelephoneNumber: 9493661053
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/25/2006
LastUpdateDate: 08/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X15710CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home