Raczka, Richard Charles

Raczka, Richard Charles is an individual health care provider with primary practice located at 11190 Warner Ave Ste 300 , Fountain Valley CA 92708-4045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Raczka, Richard Charles can be contacted via phone (714) 241-7000.

Contact Information

Primary practice address
11190 Warner Ave Ste 300 Fountain Valley CA 92708-4045
Fax: (714) 241-7003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A34092 California

Profile Details

NPI number 1194744680
LBN Legal business name Raczka, Richard Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 24th, 2020 - about 4 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 1194744680 NPPES
California MEDICAID 00A340920

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