Defelice, Richard David

Defelice, Richard David is an individual health care provider with primary practice located at 1508 Alhambra Blvd Ste 200 , Sacramento CA 95816-6510. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Defelice, Richard David can be contacted via phone (916) 325-1040.

Contact Information

Primary practice address
1508 Alhambra Blvd Ste 200 Sacramento CA 95816-6510
Phone: (916) 325-1040
Fax: (916) 669-4100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G47183 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G47183 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G47183 California

Profile Details

NPI number 1063458495
LBN Legal business name Defelice, Richard David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063458495 NPPES
California MEDICAID 00G471830

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