Search › California › 101YA0400X
Richard Broussard
NPI 1356142210 · on the registry since 2025 · sole proprietor
Practice
- Address
- 907 Pico Blvd
Santa Monica, CA 90405 - Phone
- (310) 314-6200
- Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2025-03-24
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