Individual
DR. RICHARD M. EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS, FAAP
Contact information
Practice address
200 UCLA MEDICAL PLZ, SUITE 140, LOS ANGELES, CA 90095-0001
(310) 825-6865
(310) 206-5343
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G14024
CA
208800000X
Urology Physician
Primary
G14024
CA
2088P0231X
Pediatric Urology Physician
G14024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578560413
—
CA
01
—
G14024
MEDICAL LICENSE
CA
Enumeration date
07/07/2005
Last updated
03/07/2023
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