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NPI Code Detail

MEDICARE: DANIEL GEORGE RICH M.D.

MEDICARE: DANIEL GEORGE RICH M.D.
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
1207W00000XOphthalmology PhysicianG60828CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01035548OTHERRAILROAD MEDICARE

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 : 1710965058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GEORGE RICH M.D.
Provider Business Mailing Address
First Line : 3035 CLEVELAND AVE STE 100
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-2122
Country : US
Telephone Number : 707-546-9800
Fax Number : 707-546-4112
Provider Business Practice Location Address
First Line : 3035 CLEVELAND AVE STE 100
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-2122
Country : US
Telephone Number : 707-546-9800
Fax Number : 707-546-4112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 07/21/2025

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Directions to “ DANIEL GEORGE RICH M.D.” Practice Location

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