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Organization
RICHARDSON TE MEDICAL GROUP
Active
Organization
RICHARDSON TE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANN RICHARDSON-TE M.D. (PRESIDENT/OWNER)
(213) 977-0511
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD, SUITE 1100, LOS ANGELES, CA 90017-4002
(213) 977-0511
(213) 481-2763
Mailing address
1127 WILSHIRE BLVD, SUITE 1100, LOS ANGELES, CA 90017-4002
(213) 977-0511
(213) 481-2763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89382
CA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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