Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G19135 | CA |
NPI | 1639221617 |
---|---|
Provider Name | Dr. Richard Paul Dhanes |
First Address | Westlake Village, CA 91361-1977 |
Second Address | Westlake Village, CA 91361-1977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 11/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A40537 | (02) | CA |