Individual
RICHARD P. ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 L ST, 6TH FLOOR, SACRAMENTO, CA 95816-5616
(916) 887-4040
(916) 887-4045
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A111124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DK902Z
PTAN
CA
Enumeration date
02/18/2007
Last updated
05/26/2015
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