Kristen Anne Richards
Dermatologist MOHS-Micrographic Surgeon
9850 Genesee Ave Suite 460
La Jolla
, California 92037-1228
Kristen Anne Richards
Dermatologist MOHS-Micrographic Surgeon
9850 Genesee Ave Suite 460
La Jolla
, California 92037-1228
(858) 362-8803
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Kristen Anne Richards
- 9850 Genesee Ave Ste 460
- La Jolla, CA
- Zip : 92037-1228
- Fax : (858) 362-8803
- Phone : (858) 362-8800
Second Address
- Kristen Anne Richards
- 9850 Genesee Ave Suite 460
- La Jolla, CA
- Zip : 92037-1228
- Fax : (858) 362-8803
- Phone : (858) 362-8800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A74648 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | A74648 | CA |
National Provider Identifier
| NPI | 1386657195 |
|---|---|
| Provider Name | Kristen Anne Richards |
| First Address | La Jolla, CA 92037-1228 |
| Second Address | La Jolla, CA 92037-1228 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 08/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A74648 | MEDICAL LICENSE (01) | CA |
| H23753 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.