Individual
DAVID D. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 HUNTINGTON DR, SAN MARINO, CA 91108-2022
(626) 289-7856
(626) 284-6532
Mailing address
2020 HUNTINGTON DR, SAN MARINO, CA 91108-2022
(626) 289-7856
(626) 284-6532
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A062824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180038511
RAILROAD MEDICARE
—
01
—
A62824A
UNITED HEALTH CARE
—
Enumeration date
10/26/2005
Last updated
02/16/2015
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