Richard Jerome Kennedy in Los Angeles - Family Medicine

Richard Jerome Kennedy - NPI 1457370959

Richard Jerome Kennedy is a Family Medicine in Los Angeles, California. Richard Jerome Kennedy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard Jerome Kennedy is 1457370959. The last update date is 2010-06-28.

Richard Jerome Kennedy's current location address is 5767 W Century Blvd, Los Angeles, California. You can contact this provider via phone number 3108287172 and fax number 3103947807. The mailing address for Richard Jerome Kennedy is 5767 W Century Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Jerome Kennedy
Address 5767 W Century Blvd, Los Angeles, California
Phone Number 3108287172
Fax Number 3103947807
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1457370959
Provider Enumeration Date 2006-07-18
Last Updated Date 2010-06-28

Provider Mailing Address Detail

Address 5767 W Century Blvd
City Los Angeles
State California (CA)
Post Code 900455632
Phone Number 3108287172
Fax Number 3103947807

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G62092
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G620920 CA --

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FAQs about Richard Jerome Kennedy

What is the Richard Jerome Kennedy's unique identification number?

The Richard Jerome Kennedy has been assigned the NPI (National Provider Identifier) Number 1457370959 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Richard Jerome Kennedy located?

The Richard Jerome Kennedy is located at 5767 W Century Blvd, Los Angeles, CA 900455632.

What is the Richard Jerome Kennedy's area of specialization and corresponding taxonomy classification?

The Richard Jerome Kennedy's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Richard Jerome Kennedy receive the assignment of its 1457370959 from the Centers for Medicare & Medicaid Services?

The Richard Jerome Kennedy was issued its 1457370959 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the Richard Jerome Kennedy's details last updated?

The information pertaining to the Richard Jerome Kennedy, including its address, specialty, and other details, was most recently updated on 2010-06-28.

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