Provider Demographics
NPI:1467460899
Name:ATKINS, RICHARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1030 FOOTHILL BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:LA CANADA
Mailing Address - State:CALIFORNIA
Mailing Address - Zip Code:91011
Mailing Address - Country:UM
Mailing Address - Phone:818-790-7706
Mailing Address - Fax:818-790-4104
Practice Address - Street 1:1030 FOOTHILL BLVD
Practice Address - Street 2:SUITE.205
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3241
Practice Address - Country:US
Practice Address - Phone:818-790-7706
Practice Address - Fax:818-790-4104
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2008-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG278132084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-3980596OtherTAX IDENTIFICATION
CAG27813OtherMEDICAL LICENSE