Provider Demographics
NPI:1992723076
Name:RICHMOND, DANIEL PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PATRICK
Last Name:RICHMOND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9092 TALBERT AVE
Mailing Address - Street 2:SUITE #9
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4452
Mailing Address - Country:US
Mailing Address - Phone:714-593-4775
Mailing Address - Fax:714-593-4765
Practice Address - Street 1:9092 TALBERT AVE
Practice Address - Street 2:SUITE #9
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4452
Practice Address - Country:US
Practice Address - Phone:714-593-4775
Practice Address - Fax:714-593-4765
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor