Provider Demographics
NPI:1275519589
Name:AUSTIN, RICHARD L JR (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:AUSTIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:16955 VIA DEL CAMPO
Mailing Address - Street 2:STE 215
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127
Mailing Address - Country:US
Mailing Address - Phone:858-673-6100
Mailing Address - Fax:858-673-6113
Practice Address - Street 1:555 E VALLEY PKWY
Practice Address - Street 2:PALOMAR MEDICAL CTR
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3048
Practice Address - Country:US
Practice Address - Phone:760-739-3000
Practice Address - Fax:760-739-2926
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2010-05-07
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Provider Licenses
StateLicense IDTaxonomies
CAG85946207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A16166Medicare UPIN