Provider Demographics
NPI:1952456584
Name:PALTENGHI, RICHARD NEIL (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:NEIL
Last Name:PALTENGHI
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 1:1824 CAMINO VERDE
Mailing Address - Street 2:#D
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2266
Mailing Address - Country:US
Mailing Address - Phone:925-451-6472
Mailing Address - Fax:
Practice Address - Street 1:1824 CAMINO VERDE
Practice Address - Street 2:#D
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-2266
Practice Address - Country:US
Practice Address - Phone:925-451-6472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89458208D00000X
NV11777208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice