Individual provider · Type 1 NPI

Grant Richardson

Adult Medicine Physician · Pinole, CA

NPI number 1629643515 Active

Practice location

1301 Pinole Valley Rd
Pinole, CA 94564-1384

Call (510) 243-4000 Map

Mailing address

1699 Market St Apt 12
San Francisco, CA 94103-1244

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X20A22558 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

20 other providers at this address

About NPI 1629643515

Grant Richardson's National Provider Identifier is 1629643515, issued on May 24, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Pinole, CA. The record was last updated on Sep 11, 2024.