Sullivan, Richard R

Sullivan, Richard R is an individual health care provider with primary practice located at 4101 Torrance Blvd , Torrance CA 90503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sullivan, Richard R can be contacted via phone (310) 303-5750.

Contact Information

Primary practice address
4101 Torrance Blvd Torrance CA 90503
Phone: (310) 303-5750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G57936 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G57936 California

Profile Details

NPI number 1386621779
LBN Legal business name Sullivan, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 25th, 2013 - about 11 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 1386621779 NPPES
California MEDICAID 00G579360
California Other 00G579360

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