Individual
DAVID J. RICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14608 HAWTHORNE BLVD, LAWNDALE, CA 90260-1521
(310) 978-4970
(310) 978-8668
Mailing address
14608 HAWTHORNE BLVD, LAWNDALE, CA 90260-1521
(951) 691-5123
(951) 691-5156
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G56693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G566930
—
CA
01
—
A003
TRIWEST PROVIDER #
CA
Enumeration date
02/07/2007
Last updated
07/14/2026
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