Healthcare Provider Details

I. General information

NPI: 1730254715
Provider Name (Legal Business Name): RICHARD H OSWALD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22310 WARDHAM AVE
HAWAIIAN GARDENS CA
90716-1740
US

IV. Provider business mailing address

6001 E WASHINGTON BLVD
COMMERCE CA
90040-2451
US

V. Phone/Fax

Practice location:
  • Phone: 562-928-9600
  • Fax:
Mailing address:
  • Phone: 562-928-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A4382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: