Individual
ANGELIQUE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-1503
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A123556
CA
207RH0000X
Hematology (Internal Medicine) Physician
ME137952
FL
207RH0003X
Hematology & Oncology Physician
Primary
A123556
CA
207RX0202X
Medical Oncology Physician
ME137952
FL
Other
Enumeration date
11/26/2012
Last updated
11/14/2025
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