Individual
RICHARD ERIC KRATZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
207 S SANTA ANITA AVE, SUITE P25, SAN GABRIEL, CA 91776-1138
(626) 289-7056
(626) 289-3328
Mailing address
207 S SANTA ANITA AVE, SUITE P25, SAN GABRIEL, CA 91776-1138
(626) 289-7056
(626) 289-3328
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G65340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G65340
—
CA
01
—
G653400
BLUE SHIELD
—
Enumeration date
11/02/2005
Last updated
07/08/2007
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