Search › California › 1041C0700X
Richard Petersen
NPI 1316754849 · on the registry since 2024 · sole proprietor
Practice
- Address
- 44 N Lassen St
Susanville, CA 96130 - Phone
- (530) 310-0169
- Organisation at this address
- Lassen Intervention, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-17
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