Organization
HEATHER RICHARDSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RICHARDSON MD (SOLE OWNER AND PROVIDER)
(404) 358-5553
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 105, BEVERLY HILLS, CA 90210-4310
(310) 278-8590
(310) 278-8230
Mailing address
436 N BEDFORD DR, SUITE 105, BEVERLY HILLS, CA 90210-4310
(310) 278-8590
(310) 278-8230
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
132043
CA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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