Organization
RICHARD NIEMEYER, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT NIEMEYER M.D. (PRESIDENT)
(818) 363-3121
Entity
Organization
Contact information
Practice address
17709 CHATSWORTH ST, GRANADA HILLS, CA 91344-5604
(818) 363-3121
(818) 366-1728
Mailing address
17709 CHATSWORTH ST, GRANADA HILLS, CA 91344-5604
(818) 363-3121
(818) 366-1728
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G28871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G28871
PRESIDENTS MED LICENSE
CA
Enumeration date
01/31/2008
Last updated
01/31/2008
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