Individual
ALVIE C. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 FROST ST STE 140, SAN DIEGO, CA 92123
(858) 966-6710
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
49823
TN
207V00000X
Obstetrics & Gynecology Physician
C160063
CA
207VM0101X
Maternal & Fetal Medicine Physician
49823
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
C160063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057520
—
RI
Enumeration date
12/05/2005
Last updated
03/08/2019
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