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ANGELIQUE RICHARDSON MDPHD NPI 1700120102


NPI Information

NPI: 1700120102
Provider Name: ANGELIQUE RICHARDSON, MD,PHD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
3855 HEALTH SCIENCES DR
LA JOLLA, CA
ZIP 92093
Phone: (800) 926-8273
Get Directions

Angelique Richardson, MD,PHD is a hematology and oncology internal medicine in La Jolla, CA with 13 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Angelique Richardson, MD,PHD NPI is 1700120102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

3855 HEALTH SCIENCES DR
LA JOLLA, CA
ZIP 92093-503
Phone: (800) 926-8273

The NPI 1700120102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 3/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA123556CALIFORNIANo
2207RH0000XInternal MedicineHematologyME137952FLORIDANo
3207RX0202XInternal MedicineMedical OncologyME137952FLORIDANo
4207RH0003XInternal MedicineHematology & OncologyA123556CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.