Provider Demographics
NPI:1508836222
Name:RICHARDS, JAMES MILTON (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MILTON
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:MILTON
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3790 FLORIDA STREET UNIT C321
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104
Mailing Address - Country:US
Mailing Address - Phone:714-420-5948
Mailing Address - Fax:800-405-2906
Practice Address - Street 1:7575 METROPOLITAN DRIVE, SUITE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:714-420-5948
Practice Address - Fax:800-405-2906
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0613412083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine