Organization
RICHARD BARDOWELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BARDOWELL MD (PRESIDENT)
(818) 843-3100
Entity
Organization
Contact information
Practice address
500 E OLIVE AVE STE 420, BURBANK, CA 91501-2171
(818) 209-7575
(818) 217-8564
Mailing address
500 E OLIVE AVE STE 420, BURBANK, CA 91501-2171
(818) 843-3100
(818) 843-8189
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A41037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A410370
—
CA
Enumeration date
11/16/2012
Last updated
08/09/2023
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