Provider Demographics
NPI:1750388195
Name:JONES, RICHARD F (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:18660 US HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2316
Mailing Address - Country:US
Mailing Address - Phone:760-946-2112
Mailing Address - Fax:760-946-2113
Practice Address - Street 1:18660 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2316
Practice Address - Country:US
Practice Address - Phone:760-946-2112
Practice Address - Fax:760-946-2113
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5831207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF41470Medicare UPIN
CA020A58310Medicare ID - Type Unspecified