Provider Demographics
NPI:1295487163
Name:FRANCO, CHARITO CHALIE SALASAC (NP-C)
Entity type:Individual
Prefix:
First Name:CHARITO CHALIE
Middle Name:SALASAC
Last Name:FRANCO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23232 FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-4624
Mailing Address - Country:US
Mailing Address - Phone:310-658-8130
Mailing Address - Fax:
Practice Address - Street 1:23232 FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-4624
Practice Address - Country:US
Practice Address - Phone:310-658-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018806363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily