Individual
DR. RICHARD J AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 L ST, 6TH FLOOR, SACRAMENTO, CA 95816-5616
(916) 887-4040
(916) 887-4045
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G43153
CA
207RI0011X
Interventional Cardiology Physician
G43153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G431530
—
CA
01
—
P00083875
RAILROAD MEDICARE
CA
Enumeration date
10/10/2005
Last updated
07/22/2015
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