SearchCalifornia111NR0400X

Doug Riccio

NPI 1699146126 · on the registry since 2015 · sole proprietor

Practice

Address
418 N Larchmont Blvd
Los Angeles, CA 90004
Phone
(323) 378-6333
Fax
(323) 378-6333

Registry record

Primary taxonomy
111NR0400X
111NR0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-09

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