Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | G39282 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | G39282 | CA |
NPI | 1770580151 |
---|---|
Provider Name | Richard F Wright |
First Address | Santa Monica, CA 90404-2102 |
Second Address | Santa Monica, CA 90404-2172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A47772 | (02) | CA |