Individual
RICHARD J NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2 JAMES WAY, STE. 205, PISMO BEACH, CA 93449-4973
(805) 773-3668
(805) 773-1043
Mailing address
2 JAMES WAY, STE. 205, PISMO BEACH, CA 93449-4973
(805) 773-3668
(805) 773-1043
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E43060
BLUE SHIELD PIN
CA
05
—
00E430600
—
CA
01
—
7830250
AETNA PIN
CA
01
—
E4306
BLUE CROSS
CA
Enumeration date
07/20/2006
Last updated
05/25/2011
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