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NPI Code Detail

MEDICARE: RICHARD D DAVID M.D.

MEDICARE: RICHARD D DAVID 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
1208800000XUrology PhysicianG58038CA
2208800000XUrology Physician14752MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00705287OTHERCAMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DG3479OTHERCAMCRR GROUP PTAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427158245
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD D DAVID M.D.
Provider Business Mailing Address
First Line : PO BOX 749267
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-9267
Country : US
Telephone Number : 818-990-5020
Fax Number : 818-990-8549
Provider Business Practice Location Address
First Line : 5522 SEPULVEDA BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91411-3437
Country : US
Telephone Number : 818-990-5020
Fax Number : 818-990-8549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/25/2025

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Directions to “ RICHARD D DAVID M.D.” Practice Location

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