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Organization
RICHARD M POWELL MD
Active
Organization
RICHARD M POWELL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICAHRD M POWELL MD (OWNER)
(323) 935-5858
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD STE 504, LOS ANGELES, CA 90036-4633
(323) 935-5858
(323) 935-1212
Mailing address
5901 W OLYMPIC BLVD STE 504, LOS ANGELES, CA 90036-4633
(323) 935-5858
(323) 935-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G27765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093707390
NPI
CA
Enumeration date
10/24/2006
Last updated
08/22/2020
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