Individual
KATIE LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21250 HAWTHORNE BLVD STE 430, TORRANCE, CA 90503-5511
(310) 326-3066
(310) 326-3068
Mailing address
15507 S NORMANDIE AVE # 231, GARDENA, CA 90247-4028
(714) 292-7359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60727
CA
363AS0400X
Surgical Physician Assistant
Primary
PA60727
CA
Other
Enumeration date
05/09/2022
Last updated
10/10/2023
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