Richmond, Glenn H.

Richmond, Glenn H. is an sole proprietor health care provider with primary practice located at 613 21St St , Huntington Beach CA 92648-3318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Richmond, Glenn H. can be contacted via phone (714) 375-2077.

Contact Information

Primary practice address
613 21St St Huntington Beach CA 92648-3318
Phone: (714) 375-2077
Fax: (714) 375-2082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A46498 California

Profile Details

NPI number 1972600310
LBN Legal business name Richmond, Glenn H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Dec 9th, 2009 - about 17 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 1972600310 NPPES
California MEDICAID 00A464981

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