Organization
RICHARD A MAYER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDREW MAYER M.D. (PRESIDENT)
(619) 462-9010
Entity
Organization
Contact information
Practice address
4231 BALBOA AVE STE 218, SAN DIEGO, CA 92117-5504
(619) 754-4955
(619) 287-9058
Mailing address
4231 BALBOA AVE STE 218, SAN DIEGO, CA 92117-5504
(619) 462-9010
(619) 287-9058
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A792460
—
CA
01
—
WA79246C
PROVIDER TRANSACTION ACCESS NUMBER
—
Enumeration date
09/22/2006
Last updated
01/17/2019
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