Individual
RICHARD T PEDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3761 KATELLA AVE, LOS ALAMITOS MEDICAL CENTER, LOS ALAMITOS, CA 90720-3101
(562) 799-3294
Mailing address
100 OCEANGATE, SUITE 1000, LONG BEACH, CA 90802-4312
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G41675
CA
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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