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Individual

RICHARD D DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5522 SEPULVEDA BLVD, SHERMAN OAKS, CA 91411-3437
(818) 990-5020
(818) 990-8549
Mailing address
PO BOX 749267, LOS ANGELES, CA 90074-9267
(818) 990-5020
(818) 990-8549

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
14752
MT
208800000X
Urology Physician
Primary
G58038
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G580380
CA
01
DG3479
MCRR GROUP PTAN
CA
01
P00705287
MEDICARE RR
CA
Enumeration date
09/22/2006
Last updated
03/25/2025
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