Provider Demographics
NPI:1144529405
Name:OCHOA-FRONGIA, LISA MONICA (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MONICA
Last Name:OCHOA-FRONGIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:1M-3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-8494
Mailing Address - Fax:415-206-6115
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:1M-3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8494
Practice Address - Fax:415-206-6115
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA124898207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine