Organization
SEAL BEACH PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS H. RICHIE JR. D.P.M. (OWNER/PHYSICIAN)
(562) 493-2451
Entity
Organization
Contact information
Practice address
550 PACIFIC COAST HWY STE 209, SEAL BEACH, CA 90740-6654
(562) 493-2451
(562) 596-3157
Mailing address
550 PACIFIC COAST HWY STE 209, SEAL BEACH, CA 90740-6654
(562) 493-2451
(562) 596-3157
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
E2669
CA
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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