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Organization
H RICHARD CASDORPH MD INC
Active
Organization
H RICHARD CASDORPH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN RICHARD CASDORPH M.D. (C.E.O)
(562) 597-8716
Entity
Organization
Contact information
Practice address
1703 TERMINO AVE, SUITE 201, LONG BEACH, CA 90804-2124
(562) 597-8716
Mailing address
1703 TERMINO AVE, SUITE 201, LONG BEACH, CA 90804-2124
(562) 597-8716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C23386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C23386
MEDICARE PTAN
CA
Enumeration date
09/14/2010
Last updated
09/15/2010
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