Individual
BERONIE VONDELL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292-5424
(310) 827-3700
(310) 578-5379
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A103394
CA
2083X0100X
Occupational Medicine Physician
A103394
CA
Other
Enumeration date
04/09/2008
Last updated
05/06/2026
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