Individual
DR. MADISON F RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8500 WILSHIRE BLVD, SUITE 908, BEVERLY HILLS, CA 90211
(310) 360-9520
(310) 360-9526
Mailing address
8500 WILSHIRE BLVD, SUITE 908, BEVERLY HILLS, CA 90211-3121
(310) 360-9520
(310) 360-9526
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G18826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G188260
—
CA
Enumeration date
11/03/2006
Last updated
07/14/2015
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