Healthcare Provider Details

I. General information

NPI: 1386668614
Provider Name (Legal Business Name): RICHARD L TREIMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 N BEVERLY DR
BEVERLY HILLS CA
90210-2913
US

IV. Provider business mailing address

912 N BEVERLY DR
BEVERLY HILLS CA
90210-2913
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-6978
  • Fax: 310-274-3801
Mailing address:
  • Phone: 310-274-6978
  • Fax: 310-274-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberC016086
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: