Richardson, Beronie Vondell

Richardson, Beronie Vondell is an individual health care provider with primary practice located at 4560 Admiralty Way Ste 100 , Marina Del Rey CA 90292-5424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Richardson, Beronie Vondell can be contacted via phone (310) 827-3700.

Contact Information

Primary practice address
4560 Admiralty Way Ste 100 Marina Del Rey CA 90292-5424
Phone: (310) 827-3700
Fax: (310) 578-5379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A103394 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A103394 California

Profile Details

NPI number 1235302373
LBN Legal business name Richardson, Beronie Vondell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated May 16th, 2023 - about 3 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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