Doctor Name: | DOUGLAS H. RICHIE |
NPI Number: | 1013956838 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | E2669 |
Business Practice Address: | 550 Pacific Coast Hwy #209 Seal Beach, CA - 907405999 |
Business Phone Number: | 5624932451 |
Business Fax Number: | 5625963157 |
Mailing Address: | 550 Pacific Coast Hwy, #209 SEAL BEACH |
State: | CA |
Postal Code: | 907405999 |
Phone Number: | 5624932451 |
Fax Number: | 5625963157 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 03/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E2669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |