Jack, Richard Anthony

Jack, Richard Anthony is an individual health care provider with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Jack, Richard Anthony can be contacted via phone (818) 708-5570.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (818) 708-5570
Fax: (818) 708-5471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X C175889 California

Profile Details

NPI number 1306289129
LBN Legal business name Jack, Richard Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Dec 28th, 2022 - about 2 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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