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Contact Information

RICHARD R SULLIVAN, MD
4101 TORRANCE BLVD
TORRANCE, CA90503
 Phone: 310-303-5750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for RICHARD R SULLIVAN · (Male)

NPI # 1386621779
Status Active
Credentials MD
Entity Individual
Enumeration date 12/27/2005
Last updated 04/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G57936
  • CA Medicaid 00G579360
  • CA Other 00G579360 BLUE SHIELD
Hospital affiliation(s)
  • PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO - (Acute Care)
    1300 W 7TH ST
    SAN PEDRO, CA 90732
  • PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE - (Acute Care)
    4101 TORRANCE BLVD
    TORRANCE, CA 90503
  • TORRANCE MEMORIAL MEDICAL CENTER - (Acute Care)
    3330 LOMITA BLVD
    TORRANCE, CA 90509
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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