Provider Demographics
NPI:1346257292
Name:HUNT, RICHARD THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:R.
Other - Middle Name:THOMAS
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:402 W OJAI AVE
Mailing Address - Street 2:PMB 450
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2406
Mailing Address - Country:US
Mailing Address - Phone:805-646-7666
Mailing Address - Fax:805-646-4999
Practice Address - Street 1:402 W OJAI AVE
Practice Address - Street 2:PMB 450
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2406
Practice Address - Country:US
Practice Address - Phone:805-646-7666
Practice Address - Fax:805-646-4999
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22869207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC22869OtherP&S LICENSE
CAC22869OtherP&S LICENSE