Provider Demographics
NPI:1568007706
Name:VALDRIZ, RICHARD ARNEL
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ARNEL
Last Name:VALDRIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4671 N CERRITOS DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-1605
Mailing Address - Country:US
Mailing Address - Phone:562-253-2253
Mailing Address - Fax:
Practice Address - Street 1:4671 N CERRITOS DR
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-1605
Practice Address - Country:US
Practice Address - Phone:562-253-2253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider