Provider Demographics
NPI:1043347925
Name:GOLD, RICHARD N (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:N
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8631 W 3RD ST
Mailing Address - Street 2:815E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5901
Mailing Address - Country:US
Mailing Address - Phone:310-657-9277
Mailing Address - Fax:310-659-6237
Practice Address - Street 1:8631 W 3RD ST
Practice Address - Street 2:815E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5901
Practice Address - Country:US
Practice Address - Phone:310-657-9277
Practice Address - Fax:310-659-6237
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG55597207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
A42722Medicare UPIN
G25597Medicare PIN