Individual
RICHARD M GRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18344 CLARK STREET, SUITE 101, TARZANA, CA 91356
(818) 881-9811
(818) 881-1638
Mailing address
FILE 1261, 1801 W. OLYMPIC BOULEVARD, PASADENA, CA 91199-1261
(877) 406-2916
(800) 656-0592
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G21655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G216550
BLUE SHIELD
CA
05
—
00G216550
—
CA
Enumeration date
06/07/2006
Last updated
12/02/2015
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