Kane, Richard Ellis

Kane, Richard Ellis is an individual health care provider with primary practice located at 5400 Balboa Blvd , Encino CA 91316-1502. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kane, Richard Ellis can be contacted via phone (818) 788-0770.

Contact Information

Primary practice address
5400 Balboa Blvd Encino CA 91316-1502
Phone: (818) 788-0770
Fax: (818) 788-0550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28319 California

Profile Details

NPI number 1770570665
LBN Legal business name Kane, Richard Ellis
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770570665 NPPES
California MEDICAID PHA212960

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