Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G44650 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G44650 | CA |
NPI | 1265519037 |
---|---|
Provider Name | Dr. Richard F. Santore |
First Address | San Diego, CA 92123-2776 |
Second Address | San Diego, CA 92123-2776 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 06/09/2007 |