Doctor Name: | RICHARD L JOHN |
NPI Number: | 1003000837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | NPF 13309 |
Business Practice Address: | 1550 E Main St Mental Health Santa Maria, CA - 934544819 |
Business Phone Number: | 8053546053 |
Business Fax Number: | |
Mailing Address: | 1550 E. Main St, Mental Health SANTA MARIA |
State: | CA |
Postal Code: | 93254 |
Phone Number: | 8053546053 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2007 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NPF 13309 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |