Provider Demographics
NPI:1144209453
Name:RICHARD A STRICK MD INC
Entity Type:Organization
Organization Name:RICHARD A STRICK MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-794-1573
Mailing Address - Street 1:100 UCLA MEDICAL PLAZA
Mailing Address - Street 2:# 660
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-6994
Mailing Address - Country:US
Mailing Address - Phone:310-794-1573
Mailing Address - Fax:310-206-4010
Practice Address - Street 1:100 UCLA MEDICAL PLAZA
Practice Address - Street 2:# 660
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6994
Practice Address - Country:US
Practice Address - Phone:310-794-1573
Practice Address - Fax:310-206-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G274681Medicaid
A89451Medicare UPIN
CA00G274681Medicaid