Trevin Richardson, is a
Community Health Worker based in Los Angeles, California. Trevin Richardson is licensed to practice in * (Not Available) (license number ) and his current practice location is
12021 Wilmington Ave Ste 2b, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(310) 221-6336.
NPI number for Trevin Richardson is 1417305855 and his current mailing address is 12021 Wilmington Ave Ste 2b, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417305855.
Healthcare Provider's Profile
| Full Name | Trevin Richardson |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
|---|
| Location | 12021 Wilmington Ave Ste 2b, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417305855
- Provider Enumeration Date: 05/26/2016
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Trevin Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417305855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Trevin Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Trevin Richardson,
12021 Wilmington Ave Ste 2b,
Los Angeles, CA 90059-3019
Ph: (310) 221-6336 | Trevin Richardson,
12021 Wilmington Ave Ste 2b,
Los Angeles, CA 90059-3019
Ph: (310) 221-6336 |
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