Provider Demographics
NPI:1750405403
Name:FRANZ, BETTINA EVA (MD PHD)
Entity type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:EVA
Last Name:FRANZ
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:DR
Other - First Name:BETTINA
Other - Middle Name:
Other - Last Name:FRANZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PHD
Mailing Address - Street 1:6B LIBERTY PLAZA
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656
Mailing Address - Country:US
Mailing Address - Phone:949-680-2700
Mailing Address - Fax:949-680-2705
Practice Address - Street 1:6B LIBERTY PLAZA
Practice Address - Street 2:SUITE 110
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656
Practice Address - Country:US
Practice Address - Phone:949-680-2700
Practice Address - Fax:949-680-2705
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA660102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry