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NPI Code Detail

MEDICARE: SEPTEMBER A RICHARDSON

MEDICARE: SEPTEMBER A RICHARDSON
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1730064650
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEPTEMBER A RICHARDSON
Provider Business Mailing Address
First Line : 43500 KIRKLAND AVE APT 160
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4629
Country : US
Telephone Number : 909-241-7429
Fax Number :
Provider Business Practice Location Address
First Line : 43520 DIVISION ST
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4089
Country : US
Telephone Number : 661-266-4783
Fax Number : 661-266-1210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2025
Last Update Date : 06/08/2026

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Directions to “ SEPTEMBER A RICHARDSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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