| Organization Name: | RICHARD J NORMAN DPM |
| NPI Number: | 1336319698 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD JAY NORMAN (SOLE PROPRIETOR) |
| Mailing Address: | 2 James Way Suite 205 Pismo Beach |
| State: | CA US |
| Postal Code: | 934494973 |
| Phone Number: | 8057733668 |
| Fax Number: | 8057731043 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | E4306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |