Organization
DAVID J RICKLES M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J RICKLES M.D. (PRESIDENT)
(310) 650-5986
Entity
Organization
Contact information
Practice address
14608 HAWTHORNE BLVD, LAWNDALE, CA 90260-1521
(310) 978-4970
(310) 978-8668
Mailing address
2104 ELM AVE, MANHATTAN BEACH, CA 90266-2807
(310) 650-5986
(310) 078-8668
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
G56693
CA
Other
Enumeration date
07/22/2006
Last updated
03/05/2012
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