Individual
DR. RICHARD J HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 OLD NEWPORT BLVD, SUITE 200, NEWPORT BEACH, CA 92663-4248
(949) 548-9611
(949) 548-9958
Mailing address
415 OLD NEWPORT BLVD, SUITE 200, NEWPORT BEACH, CA 92663-4248
(949) 548-9611
(949) 548-9958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G41879
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G41879
CA
207RI0011X
Interventional Cardiology Physician
G41879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0075060
—
CA
Enumeration date
10/18/2005
Last updated
02/18/2020
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