Provider Demographics
NPI:1902352818
Name:ABELLANOSA, FRAN CYREM OLANDRIA
Entity Type:Individual
Prefix:
First Name:FRAN CYREM
Middle Name:OLANDRIA
Last Name:ABELLANOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 FARIS DR APT 14
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-7540
Mailing Address - Country:US
Mailing Address - Phone:310-806-1499
Mailing Address - Fax:
Practice Address - Street 1:3614 FARIS DR APT 14
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-7540
Practice Address - Country:US
Practice Address - Phone:310-806-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist