Organization
DAVID J RICKLES, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J RICKLES M.D. (OWNER)
(310) 202-6474
Entity
Organization
Contact information
Practice address
3828 DELMAS TER, CULVER CITY, CA 90232-2713
(310) 202-4764
(310) 202-4187
Mailing address
150 N ROBERTSON BLVD, SUITE 160, BEVERLY HILLS, CA 90211-2142
(310) 202-4764
(310) 202-4187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G56693
CA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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