Individual
RICHARD DAVID DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816-6510
(916) 325-1040
(916) 669-4100
Mailing address
1300 ETHAN WAY, SUITE 600, SACRAMENTO, CA 95825-2296
(916) 679-3590
(916) 482-3647
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G47183
CA
207RI0200X
Infectious Disease Physician
G47183
CA
207RP1001X
Pulmonary Disease Physician
G47183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G471830
—
CA
Enumeration date
06/22/2006
Last updated
10/19/2020
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