Dibella, Richard Thomas

Dibella, Richard Thomas is an individual health care provider with primary practice located at 3838 California St Rm 805 , San Francisco CA 94118-1510. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dibella, Richard Thomas can be contacted via phone (415) 600-0940.

Contact Information

Primary practice address
3838 California St Rm 805 San Francisco CA 94118-1510
Phone: (415) 600-0940
Fax: (415) 387-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 22048 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 22048 California

Profile Details

NPI number 1134169410
LBN Legal business name Dibella, Richard Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 26th, 2022 - about 3 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 1134169410 NPPES
California Other PA22048 STATE MEDICAL LICENSE

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