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Individual

DR. J. RICHARD RISHKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6800 OWENSMOUTH AVE, SUITE 400, CANOGA PARK, CA 91303-3159
(818) 340-5796
(818) 340-4030
Mailing address
6800 OWENSMOUTH AVE, SUITE 400, CANOGA PARK, CA 91303-3159
(818) 340-5796
(818) 340-4030

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
7040 TPL
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0070400
CA
Enumeration date
02/28/2006
Last updated
01/20/2009
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