Basic Information
Provider Information
NPI: 1235345711
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCIS
FirstName: STACEY
MiddleName: HINDY
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6430 W SUNSET BLVD
Address2: SUITE 600
City: LOS ANGELES
State: CA
PostalCode: 900287900
CountryCode: US
TelephoneNumber: 3233612337
FaxNumber: 3233618491
Practice Location
Address1: 4650 W SUNSET BLVD
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900276062
CountryCode: US
TelephoneNumber: 3233617043
FaxNumber: 3233618491
Other Information
ProviderEnumerationDate: 05/14/2007
LastUpdateDate: 12/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208200000XA113014CAY Allopathic & Osteopathic PhysiciansPlastic Surgery 

No ID Information.


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