Individual
RICHARD R SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503
(310) 303-5750
Mailing address
DEPT LA 21552, PASADENA, CA 91185-1552
(949) 263-8600
(562) 590-7452
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57936
CA
2085R0204X
Vascular & Interventional Radiology Physician
G57936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G579360
BLUE SHIELD
CA
05
—
00G579360
—
CA
Enumeration date
12/27/2005
Last updated
04/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us