1194774158 NPI number — MR. RICHARD ERIC JAMES MADRID M.D.

Table of content: MR. RICHARD ERIC JAMES MADRID M.D. (NPI 1194774158)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194774158 NPI number — MR. RICHARD ERIC JAMES MADRID M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MADRID
Provider First Name:
RICHARD ERIC
Provider Middle Name:
JAMES
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194774158
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28780 SINGLE OAK DR., SUITE 160
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMECULA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92590-5528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-676-4193
Provider Business Mailing Address Fax Number:
951-719-1469

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30420 HAUN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MENIFEE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92584-6810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-676-4193
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  A84715 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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