Richardson, Beronie Vondell
Richardson, Beronie Vondell is an individual health care provider with primary practice located at 4560 Admiralty Way Ste 100 , Marina Del Rey CA 90292-5424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Richardson, Beronie Vondell can be contacted via phone (310) 827-3700.Contact Information
Primary practice address
4560 Admiralty Way Ste 100
Marina Del Rey CA 90292-5424
Phone: (310) 827-3700
Fax: (310) 578-5379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | A103394 | California |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A103394 | California |
Profile Details
NPI number | 1235302373 |
---|---|
LBN Legal business name | Richardson, Beronie Vondell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2008 |
Last updated | May 16th, 2023 - about last year |
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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