Individual
DR. GLENN H. RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 21ST ST, HUNTINGTON BEACH, CA 92648-3318
(714) 375-2077
(714) 375-2082
Mailing address
613 21ST ST, HUNTINGTON BEACH, CA 92648-3318
(714) 375-2077
(714) 375-2082
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A46498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A464981
—
CA
Enumeration date
09/20/2006
Last updated
12/09/2009
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