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1023167640 NPI number — RICHARD FRANKLIN WELLS PA

NPI Number: 1023167640
Health Care Provider/Practitioner: RICHARD FRANKLIN WELLS PA

Information about “1023167640” NPI (RICHARD FRANKLIN WELLS PA) exists in 1023167640 in HTML format HTML  |  1023167640 in plain Text format TXT  |  1023167640 in PDF (Portable Document Format) PDF  |  1023167640 in an XML format XML  formats.

NPI Number : 1023167640 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023167640",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WELLS",
    "FirstName": "RICHARD",
    "MiddleName": "FRANKLIN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4306 JOSIE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90713-2730",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-421-8273",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "25825 VERMONT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARBOR CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90710-3518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-517-2862",
    "PracticeLocationAddressFaxNumber": "310-517-4207",
    "EnumerationDate": "01/10/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA 20274",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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