Provider Demographics
NPI:1851504088
Name:RICHARD V. RIGGS, M.D. , P.C.
Entity Type:Organization
Organization Name:RICHARD V. RIGGS, M.D. , P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:V
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-423-3618
Mailing Address - Street 1:PO BOX 18796
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-4796
Mailing Address - Country:US
Mailing Address - Phone:310-423-3618
Mailing Address - Fax:310-423-0154
Practice Address - Street 1:8631 W 3RD ST
Practice Address - Street 2:915E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5901
Practice Address - Country:US
Practice Address - Phone:310-423-3618
Practice Address - Fax:310-423-0154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74069174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF34961Medicare UPIN
CAG74069Medicare ID - Type Unspecified