Provider Demographics
NPI:1427924257
Name:RICHARDS, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 CAMINO DEL RIO S STE 404
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4039
Mailing Address - Country:US
Mailing Address - Phone:619-963-2362
Mailing Address - Fax:
Practice Address - Street 1:3517 CAMINO DEL RIO S STE 404
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4039
Practice Address - Country:US
Practice Address - Phone:619-963-2362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist