Individual
MICHAEL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-9945
Mailing address
0833 LE CONTE AVE CHS 27-139 UCLA OB/GYN 1, LOS ANGELES, CA 90095-8358
(310) 825-9945
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1174151989
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
10/18/2024
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