# RICHARD BARDOWELL MD INC

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

## Provider details

- **NPI number:** 1740524552
- **Authorized official:** RICHARD BARDOWELL MD (PRESIDENT)
- **Authorized official phone:** (818) 843-3100

## Contact information

- **Practice address:** 500 E OLIVE AVE STE 420, BURBANK, CA 91501-2171
- **Practice address phone:** (818) 209-7575
- **Practice address fax:** (818) 217-8564
- **Mailing address:** 500 E OLIVE AVE STE 420, BURBANK, CA 91501-2171
- **Mailing address phone:** (818) 843-3100
- **Mailing address fax:** (818) 843-8189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A41037 | CA | Yes |

## Other

- **Enumeration date:** 11/16/2012
- **Last updated:** 08/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A410370 | — | CA |