Provider Demographics
NPI:1437196730
Name:MCGUIRE, RICHARD F (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15627 IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1627
Mailing Address - Country:US
Mailing Address - Phone:562-990-0911
Mailing Address - Fax:562-256-9172
Practice Address - Street 1:15627 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1627
Practice Address - Country:US
Practice Address - Phone:714-990-0911
Practice Address - Fax:714-256-9172
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60070207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
110060913OtherRAILROAD
CA00G600700Medicaid
00G600700OtherBLUE SHIELD ID #
045264OtherHEALTH NET ID #
P00385666OtherRAILROAD
E50622Medicare UPIN
CAWG60070NMedicare PIN
045264OtherHEALTH NET ID #
CAWG60070MMedicare PIN