Gritz, Richard M

Gritz, Richard M is an individual health care provider with primary practice located at 18344 Clark Street Suite 101, Tarzana CA 91356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gritz, Richard M can be contacted via phone (818) 881-9811.

Contact Information

Primary practice address
18344 Clark Street Suite 101 Tarzana CA 91356
Fax: (818) 881-1638
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G21655 California

Profile Details

NPI number 1548200637
LBN Legal business name Gritz, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 2nd, 2015 - about 9 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 1548200637 NPPES
California MEDICAID 00G216550
California Other 00G216550

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