Healthcare Provider Details

I. General information

NPI: 1972554806
Provider Name (Legal Business Name): MICHAEL FRANK RICHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 SAWTELLE # 145
LOS ANGELES CA
90025
US

IV. Provider business mailing address

1950 SAWTELLE BL # 145
LOS ANGELES CA
90025
US

V. Phone/Fax

Practice location:
  • Phone: 310-481-3939
  • Fax: 310-481-3949
Mailing address:
  • Phone: 310-481-3939
  • Fax: 310-481-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG74625
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: