Provider Demographics
NPI:1073783064
Name:RICHARD C. RICHLEY M.D. INC
Entity Type:Organization
Organization Name:RICHARD C. RICHLEY M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-226-8871
Mailing Address - Street 1:3434 MIDWAY DR
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4923
Mailing Address - Country:US
Mailing Address - Phone:619-226-8871
Mailing Address - Fax:619-226-1456
Practice Address - Street 1:3434 MIDWAY DR
Practice Address - Street 2:SUITE 2001
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4923
Practice Address - Country:US
Practice Address - Phone:619-226-8871
Practice Address - Fax:619-226-1456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25110174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1851314660OtherNPI
CA1851314660OtherNPI