Search › California › 171W00000X
Richard Deza
NPI 1306217245 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6095 Country Club Dr
Rohnert Park, CA 94928 - Phone
- (415) 948-6552
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California