| Richard Niemeyer, Md, Inc. | |
|
17709 Chatsworth St Granada Hills CA 91344-5604 | |
| (818) 363-3121 | |
| (818) 366-1728 |
| Full Name | Richard Niemeyer, Md, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 17709 Chatsworth St, Granada Hills, California |
| Authorized Official Name and Position | Richard Scott Niemeyer (PRESIDENT) |
| Authorized Official Contact | 8183633121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Niemeyer, Md, Inc. 17709 Chatsworth St Granada Hills CA 91344-5604 Ph: (818) 363-3121 | Richard Niemeyer, Md, Inc. 17709 Chatsworth St Granada Hills CA 91344-5604 Ph: (818) 363-3121 |
| NPI Number | 1003094020 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003094020 | NPI | - | NPPES |
| G28871 | Other | CA | PRESIDENTS MED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G28871 (California) | Primary |
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