Healthcare Provider Details

I. General information

NPI: 1598810590
Provider Name (Legal Business Name): LEON F RICHMOND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 30TH ST SUITE 205
OAKLAND CA
94609-3424
US

IV. Provider business mailing address

350 30TH ST SUITE 205
OAKLAND CA
94609-3424
US

V. Phone/Fax

Practice location:
  • Phone: 510-271-5330
  • Fax: 510-834-3110
Mailing address:
  • Phone: 510-444-0790
  • Fax: 510-869-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberC37530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: