Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A94510 | CA |
N | 111NI0900X | Internist | A94510 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A94510 | CA |
NPI | 1003089871 |
---|---|
Provider Name | Patrick Richards |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Sacramento, CA 95816-7058 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 19/12/2013 |