Individual
BRIAN PAUL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4418
(619) 933-4258
(858) 777-3387
Mailing address
2359 LITTLETON CIR, COSTA MESA, CA 92626-6368
(619) 933-4258
(858) 777-3387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34538
AZ
207L00000X
Anesthesiology Physician
Primary
A043896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972192
—
AZ
Enumeration date
03/21/2006
Last updated
06/11/2020
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