Healthcare Provider Details

I. General information

NPI: 1720185606
Provider Name (Legal Business Name): MATTHEW RICHTER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 MAGNOLIA AVE STE J
CORONA CA
92879-3109
US

IV. Provider business mailing address

854 MAGNOLIA AVE STE J
CORONA CA
92879-3109
US

V. Phone/Fax

Practice location:
  • Phone: 951-817-9815
  • Fax: 951-817-9814
Mailing address:
  • Phone: 951-817-9815
  • Fax: 951-817-9814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25172
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: