# RICHARD E. FAUSEL, D.O, A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1336170091
- **Authorized official:** DR. RICHARD E FAUSEL DO (PRESIDENT)
- **Authorized official phone:** (760) 779-9353

## Contact information

- **Practice address:** 39700 BOB HOPE DR, SUITE 216, RANCHO MIRAGE, CA 92270-3267
- **Practice address phone:** (760) 779-9353
- **Mailing address:** 39700 BOB HOPE DRIVE, SUITE 216, RANCHO MIRAGE, CA 92270
- **Mailing address phone:** (760) 779-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 20A5111 | CA | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 04/17/2013