Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A134769 | CA |
NPI | 1013233790 |
---|---|
Provider Name | Alexander Richter |
First Address | Fullerton, CA 92831-3702 |
Second Address | Fullerton, CA 92831-3702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 24/06/2020 |