| Doctor Name: | RICHARD FRANK DUARTE |
| NPI Number: | 1003184664 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 21505 Norwalk Blvd Hawaiian Gardens, CA - 907161121 |
| Business Phone Number: | 5629167581 |
| Business Fax Number: | 5629167592 |
| Mailing Address: | 21505 Norwalk Blvd, HAWAIIAN GARDENS |
| State: | CA |
| Postal Code: | 907161121 |
| Phone Number: | 5629167581 |
| Fax Number: | 5629167592 |
| NPI Enumeration Date: | 12/09/2011 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM2800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Methadone Clinic |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |