MR. RICHARD PEZNER MD NPI 1457442063

NPI Information

NPI: 1457442063
Provider Name: MR. RICHARD PEZNER, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
1500 E DUARTE RD
DUARTE, CA
ZIP 91010
Phone: (626) 359-8111
Get Directions

MR. Richard Pezner, MD is a radiation oncology radiology in Duarte, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MR. Richard Pezner, MD NPI is 1457442063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E DUARTE RD
DUARTE, CA
ZIP 91010
Phone: (626) 359-8111

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/19/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	G39182	CALIFORNIA	No
2	2085R0001X	Radiology	Radiation Oncology	G39182	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G391820	MEDICAID	CALIFORNIA
2	A47726	MEDICARE UPIN
3	WG39182A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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