MEDICARE: DR. MICHAEL ANTHONY RICHARDSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A30569	CA

General Provider Information

NPI Number	:	1124063110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANTHONY RICHARDSON M.D.

Provider Business Mailing Address
First Line	:	680 MIRAMONTE DR
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1429
Country	:	US
Telephone Number	:	805-966-5504
Fax Number	:	805-966-4621

Provider Business Practice Location Address
First Line	:	680 MIRAMONTE DR
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1429
Country	:	US
Telephone Number	:	805-966-5504
Fax Number	:	805-966-4621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	07/17/2023

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