# JAY J. RICHLIN M.D. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235312497
- **Authorized official:** JAY J RICHLIN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 815-9411

## Contact information

- **Practice address:** 1835 S LA CIENEGA BLVD, SUITE 255, LOS ANGELES, CA 90035-4649
- **Practice address phone:** (310) 815-9411
- **Practice address fax:** (310) 815-8464
- **Mailing address:** 1835 S LA CIENEGA BLVD, SUITE 255, LOS ANGELES, CA 90035-4649
- **Mailing address phone:** (310) 815-9411
- **Mailing address fax:** (310) 815-8464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 12/11/2007