Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G19122 | CA |
NPI | 1013929173 |
---|---|
Provider Name | Dr. Richard M Ress |
First Address | Los Angeles, CA 90054-0679 |
Second Address | Beverly Hills, CA 90211-1788 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 14/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A40532 | (02) | CA |