Individual
DR. RICHARD C. GERARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2950 W BURBANK BLVD, BURBANK, CA 91505-2309
(818) 954-8804
(818) 848-7701
Mailing address
2950 W BURBANK BLVD, BURBANK, CA 91505-2309
(818) 954-8804
(818) 848-7701
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC17147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC 17147
CALIFORNIA LICENSE NUMBER
CA
01
—
DC0171470
BLUE SHIELD
CA
Enumeration date
04/12/2007
Last updated
07/08/2007
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