Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 60211098 | WA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A122402 | CA |
NPI | 1447375480 |
---|---|
Provider Name | Richard J Wright |
First Address | Los Altos, CA 94022-1408 |
Second Address | Fremont, CA 94538-2299 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 04/06/2020 |