MEDICARE: DR. STEVEN BRADLEY RICHLIN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	7836T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN BRADLEY RICHLIN OD

Provider Business Mailing Address
First Line	:	8907 WILSHIRE BLVD
Second Line	:	THIRD FLOOR
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1937
Country	:	US
Telephone Number	:	310-276-5333
Fax Number	:	310-276-8830

Provider Business Practice Location Address
First Line	:	8907 WILSHIRE BLVD FL 3
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1930
Country	:	US
Telephone Number	:	310-276-5333
Fax Number	:	310-276-8830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	08/25/2022

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