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NPI Code Detail

MEDICARE: AUSTIN RICH

MEDICARE:   AUSTIN  RICH
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
1225700000XMassage Therapist100063CA

General Provider Information

NPI Number : 1497609523
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN RICH
Provider Business Mailing Address
First Line : 911 CHALCEDONY ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92109-2502
Country : US
Telephone Number : 858-436-5679
Fax Number :
Provider Business Practice Location Address
First Line : 12335 WORLD TRADE DR STE 1A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3783
Country : US
Telephone Number : 858-435-5679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “ AUSTIN RICH ” Practice Location

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