Provider Demographics
NPI:1417181504
Name:RICHARDS, RACHEL MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 HERSCHEL AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4432
Mailing Address - Country:US
Mailing Address - Phone:858-454-2078
Mailing Address - Fax:858-454-2075
Practice Address - Street 1:7730 HERSCHEL AVE
Practice Address - Street 2:SUITE K
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4432
Practice Address - Country:US
Practice Address - Phone:858-454-2078
Practice Address - Fax:858-454-2075
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor