Provider Demographics
NPI:1366177495
Name:FRANKLIN, J
Entity type:Individual
Prefix:
First Name:J
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:LORRAINE
Other - Last Name:HAGEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1420 TURK ST APT 906
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-4790
Mailing Address - Country:US
Mailing Address - Phone:617-596-2156
Mailing Address - Fax:
Practice Address - Street 1:315 TURK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3703
Practice Address - Country:US
Practice Address - Phone:415-885-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator