1336508621 NPI number — DISCOVERY PRACTICE MANAGEMENT, INC

Table of content: MR. FRANCISCO JOSE RECALDE MD (NPI 1538309067)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336508621 NPI number — DISCOVERY PRACTICE MANAGEMENT, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DISCOVERY PRACTICE MANAGEMENT, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336508621
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4281 KATELLA AVE
Provider Second Line Business Mailing Address:
SUITE 111
Provider Business Mailing Address City Name:
LOS ALAMITOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90720-3510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-828-1800
Provider Business Mailing Address Fax Number:
714-828-1868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11455 CAMINO REAL
Provider Second Line Business Practice Location Address:
STE 360
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-382-1306
Provider Business Practice Location Address Fax Number:
714-388-3894
Provider Enumeration Date:
02/16/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BACA
Authorized Official First Name:
KERRYLYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
INSURANCE CONTRACTING
Authorized Official Telephone Number:
714-828-1800

Provider Taxonomy Codes

  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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