Organization
BRAD RICHARD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD RICHARD M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(562) 491-9000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C40557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C405570
—
CA
Enumeration date
07/14/2006
Last updated
12/16/2007
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