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NPI Code Detail

MEDICARE: DR. RICHARD EARL BOWEN MD

MEDICARE: DR. RICHARD EARL BOWEN MD
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
1207X00000XOrthopaedic Surgery PhysicianA61613CA

Other Identifiers

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

General Provider Information

NPI Number : 1235106246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD EARL BOWEN MD
Provider Business Mailing Address
First Line : 2400 S FLOWER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-2629
Country : US
Telephone Number : 213-742-1000
Fax Number : 213-742-1435
Provider Business Practice Location Address
First Line : 2400 S. FLOWER ST.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-2629
Country : US
Telephone Number : 213-742-1330
Fax Number : 213-742-1137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 11/03/2011

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