Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A115201 | CA |
N | 208800000X | Urologist | A115201 | CA |
NPI | 1972700052 |
---|---|
Provider Name | Monica Lucero Richardson |
First Address | Mountain View, CA 94040-6203 |
Second Address | Mountain View, CA 94040-4124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 19/05/2017 |