Cassandra A Mahan-Richards in Grand Terrace - Allergy

Cassandra A Mahan-Richards - NPI 1093767782

Cassandra A Mahan-Richards is a Allergy in Grand Terrace, California. Cassandra A Mahan-Richards practices all healthcare services and medical treatments related to Allergy. The NPI Number for Cassandra A Mahan-Richards is 1093767782. The last update date is 2023-03-07.

Cassandra A Mahan-Richards's current location address is 11980 Mount Vernon Ave, Grand Terrace, California. You can contact this provider via phone number 9098641097 and fax number 9512256879. The mailing address for Cassandra A Mahan-Richards is 11980 Mount Vernon Ave, Grand Terrace, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Cassandra A Mahan-Richards
Address 11980 Mount Vernon Ave, Grand Terrace, California
Phone Number 9098641097
Fax Number 9512256879
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093767782
Provider Enumeration Date 2006-05-17
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 11980 Mount Vernon Ave
City Grand Terrace
State California (CA)
Post Code 9231351720
Phone Number 9098641097
Fax Number 9512256879

Provider's Primary Taxonomy Detail

Speciality Allergy
Taxonomy 207Ka0200X
Licence No G53986
Definition:
A physician who specializes in the diagnosis, treatment, and management of allergies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD60286895 WA WASHINGTON STATE LICENSE
00G646250 CA --

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FAQs about Cassandra A Mahan-Richards

What is the unique identifier code issued to Cassandra A Mahan-Richards by the Centers for Medicare & Medicaid Services (CMS)?

The Cassandra A Mahan-Richards has been assigned the NPI (National Provider Identifier) 1093767782. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Cassandra A Mahan-Richards's facilities are situated?

The facilities of Cassandra A Mahan-Richards are physically located at the following address: 11980 Mount Vernon Ave, Grand Terrace, CA, 9231351720.

What is the Cassandra A Mahan-Richards's area of specialization and corresponding taxonomy classification?

The Cassandra A Mahan-Richards's specialty field is Allergy, and it falls under the taxonomy code 207Ka0200X, which categorizes healthcare providers based on their specialties.

On what date was the 1093767782 assigned to Cassandra A Mahan-Richards?

The Cassandra A Mahan-Richards was issued its 1093767782 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Cassandra A Mahan-Richards last refreshed?

The information related to the Cassandra A Mahan-Richards, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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