Healthcare Provider Details

I. General information

NPI: 1316401458
Provider Name (Legal Business Name): RICHARD JOSEPH HAYS RRT, CPFT, CRTT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 SAND CREEK RD
ANTIOCH CA
94531-8687
US

IV. Provider business mailing address

2684 CINNABAR HILLS CT
BRENTWOOD CA
94513-4642
US

V. Phone/Fax

Practice location:
  • Phone: 925-813-6710
  • Fax:
Mailing address:
  • Phone: 925-626-3808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number15064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: