Provider Demographics
NPI:1033789540
Name:GINSBURG, RICHARD SELWYN (MBCHB)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SELWYN
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WATERWAY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7069
Mailing Address - Country:US
Mailing Address - Phone:949-231-7234
Mailing Address - Fax:
Practice Address - Street 1:26 WATERWAY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-7069
Practice Address - Country:US
Practice Address - Phone:949-231-7234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45897207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology