Provider Demographics
NPI:1417984220
Name:MINK, RICHARD B (MD)
Entity Type:Individual
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First Name:RICHARD
Middle Name:B
Last Name:MINK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:21840 NORMANDIE AVE
Mailing Address - Street 2:STE. 1100
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2047
Mailing Address - Country:US
Mailing Address - Phone:310-222-5015
Mailing Address - Fax:310-328-1415
Practice Address - Street 1:21840 NORMANDIE AVE
Practice Address - Street 2:STE. 1100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2047
Practice Address - Country:US
Practice Address - Phone:310-222-5015
Practice Address - Fax:310-328-1415
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG834962080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine