Individual
CAROL RICHARDSON-TE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, STE 630, LOS ANGELES, CA 90017-4888
(213) 977-0511
(213) 481-2763
Mailing address
1245 WILSHIRE BLVD, STE 630, LOS ANGELES, CA 90017-4888
(213) 977-0511
(213) 481-2763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A893820
—
CA
Enumeration date
08/17/2006
Last updated
02/17/2017
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