Dr DANIELLE M RICHARDSON is a female medical professional, specializing in Family Medicine. She graduated in 2012.
IMPERIAL BEACH COMMUNITY CLINIC
949 PALM AVE
IMPERIAL BEACH
CA
919321503
Tel: 6194293733
Npi | 1609142892 |
Pac Id | 4385950146 |
Professional Enrollment Id | I20150825004374 |
Last Name | RICHARDSON |
First Name | DANIELLE |
Middle Name | M |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
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Organization Legal Name | IMPERIAL BEACH COMMUNITY CLINIC |
Group Practice Pac Id | 6709867880 |
Number Of Group Practice Members | 9 |
Line 1 Street Address | 949 PALM AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | IMPERIAL BEACH |
State | CA |
Zip Code | 919321503 |
Phone Number | 6194293733 |
Hospital Affiliation Ccn 1 | 050077 |
Hospital Affiliation Lbn 1 | SCRIPPS MERCY HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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