Healthcare Provider Details

I. General information

NPI: 1851442792
Provider Name (Legal Business Name): RICHARD JOHN PAULSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S LAKE AVE FL 9
PASADENA CA
91101-2676
US

IV. Provider business mailing address

801 GREENRIDGE DR
LA CANADA FLINTRIDGE CA
91011-4206
US

V. Phone/Fax

Practice location:
  • Phone: 626-440-9161
  • Fax: 626-440-0138
Mailing address:
  • Phone: 213-440-0973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberG44995
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: