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Individual

MR. RICHARD PHILIP CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5525 ETIWANDA AVE, SUITE 217, TARZANA, CA 91356
(818) 344-4800
(818) 344-1043
Mailing address
5525 ETIWANDA AVE, SUITE 217, TARZANA, CA 91356
(818) 344-4800
(818) 344-1043

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G33969
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G339690
BLUE SHIELD
05
00G339690
CA
01
1009582001
CIGNA
01
WG33969C
MEDICARE ETCPMA TZ
CA
01
WG33969D
MEDICARE ETCPMA ENC
CA
Enumeration date
10/04/2006
Last updated
02/01/2008
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