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Contact Information

YOLANDA RICHESON
824 E GRAND AVE APT 6
EL SEGUNDO, CA90245-4135
 Phone: 310-424-8664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for YOLANDA RICHESON · (Male)

NPI # 1083588651
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2025
Last updated 10/06/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 64171
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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