| Richard M. Wachsman, M.d. A Medical Corporation | |
|
4150 Regents Park Row Suite 225 La Jolla CA 92037-9124 | |
| (858) 453-1145 | |
| (858) 453-1796 |
| Full Name | Richard M. Wachsman, M.d. A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4150 Regents Park Row, La Jolla, California |
| Authorized Official Name and Position | Richard Murray Wachsman (PSYCHIATRIST) |
| Authorized Official Contact | 8584531145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M. Wachsman, M.d. A Medical Corporation 4150 Regents Park Row Suite 225 La Jolla CA 92037-9124 Ph: (858) 453-1145 | Richard M. Wachsman, M.d. A Medical Corporation 4150 Regents Park Row Suite 225 La Jolla CA 92037-9124 Ph: (858) 453-1145 |
| NPI Number | 1558541623 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 1850489378 |
|---|---|
| Medicare Enrollment ID | O20071116000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558541623 | NPI | - | NPPES |
| G26231 | Other | CA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G26231 (California) | Primary |
| Provider Name | Richard M Wachsman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972683720 PECOS PAC ID: 6305934829 Enrollment ID: I20071116000633 |
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