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Contact Information

RICHARD L FASSETT, MD
4116 W. PT. LOMA BLVD.
SAN DIEGO, CA92110
 Phone: 619-225-1212
 Fax: 619-225-1726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RICHARD L FASSETT · (Male)

NPI Number 1649367475
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 11/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C30057
Hospital affiliation(s) Not Available
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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