Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G84884 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G84884 | CA |
NPI | 1063437556 |
---|---|
Provider Name | Dr. Neil Richman |
First Address | Salinas, CA 93906-3127 |
Second Address | Salinas, CA 93906-3127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G848840 | (05) | CA |
BR4452481 | D.E.A. (01) | CA |
G16308 | (02) | CA |