Jonathan Riddick in Redondo Beach - Occupational Therapist

Jonathan Riddick - NPI 1760551527

Jonathan Riddick is a Occupational Therapist in Redondo Beach, California. Jonathan Riddick practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jonathan Riddick is 1760551527. The last update date is 2010-07-23.

Jonathan Riddick's current location address is 2514 Spreckels Ln, Redondo Beach, California. You can contact this provider via phone number 3103743535. The mailing address for Jonathan Riddick is 2514 Spreckels Ln, Redondo Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Riddick
Address 2514 Spreckels Ln, Redondo Beach, California
Phone Number 3103743535
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1760551527
Provider Enumeration Date 2006-11-07
Last Updated Date 2010-07-23

Provider Mailing Address Detail

Address 2514 Spreckels Ln
City Redondo Beach
State California (CA)
Post Code 902785337
Phone Number 3103743535
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2742 CA LICENSE#

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FAQs about Jonathan Riddick

What is the unique identifier code issued to Jonathan Riddick by the Centers for Medicare & Medicaid Services (CMS)?

The Jonathan Riddick has been assigned the NPI (National Provider Identifier) 1760551527. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Jonathan Riddick located?

The Jonathan Riddick is located at 2514 Spreckels Ln, Redondo Beach, CA 902785337.

What is Jonathan Riddick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jonathan Riddick is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.

On what date did Jonathan Riddick receive its 1760551527 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Riddick was assigned its 1760551527 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jonathan Riddick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan Riddick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-23.

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