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Dr. Jonathan Rich

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jonathan Rich
Gender: M
Provider License Number If Given: PSY10259

NPI Information:

NPI: 1356336887
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 6/2/2010

Provider Business Mailing Address:

Address: 7545 IRVINE CENTER DR SUITE 200
Irvine, CA 92618
Phone Number: 9496239824
Fax Number: 9496239824

Provider Business Practice Location Address:

Address: 7545 IRVINE CENTER DR SUITE 200
Irvine, CA 92618
Phone Number: 9496239824
Fax Number: 9496239824

Provider Taxonomy:

Primary: 103T00000X
Secondary (if any):
State: CA

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