Ken Eh Richards is a Specialist in Loma Linda, California. Ken Eh Richards practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ken Eh Richards is 1083610018. The last update date is 2009-12-16.
Ken Eh Richards's current location address is 11268 Vollmer Dr, Loma Linda, California. You can contact this provider via phone number 9513171301. The mailing address for Ken Eh Richards is 11268 Vollmer Dr, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken Eh Richards |
|---|---|
| Address | 11268 Vollmer Dr, Loma Linda, California |
| Phone Number | 9513171301 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1083610018 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2009-12-16 |
Provider Mailing Address Detail
| Address | 11268 Vollmer Dr |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923544874 |
| Phone Number | 9513171301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT0188620 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WPT118620A | CA | MEDICARE ID |
Post Comment/ Review Below
What is the unique identification code assigned to Ken Eh Richards by the Centers for Medicare & Medicaid Services?
The Ken Eh Richards has been issued the NPI (National Provider Identifier) 1083610018. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ken Eh Richards?
The Ken Eh Richards is physically situated at 11268 Vollmer Dr, in the city of Loma Linda, state of CA, with the postal code 923544874.
What is the Ken Eh Richards's area of specialization and corresponding taxonomy classification?
The Ken Eh Richards's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1083610018 to Ken Eh Richards?
The Centers for Medicare & Medicaid Services assigned the 1083610018 to Ken Eh Richards on 2005-06-23.
As of what date were the Ken Eh Richards's details last updated?
The information pertaining to the Ken Eh Richards, including its address, specialty, and other details, was most recently updated on 2009-12-16.