Richard Joseph Lautenbacher, is a
Psychologist - Clinical based in Los Angeles, California. Richard Joseph Lautenbacher is licensed to practice in California (license number PSY33652) and his current practice location is
5675 W Olympic Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 965-1365.
NPI number for Richard Joseph Lautenbacher is 1457826265 and his current mailing address is 4049 Via Marina # M-203, Marina Del Rey, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457826265.
Healthcare Provider's Profile
Full Name | Richard Joseph Lautenbacher |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 5675 W Olympic Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457826265
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 04/25/2025
Medical Identifiers
Medical identifiers for Richard Joseph Lautenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457826265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY33652 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Joseph Lautenbacher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Richard Joseph Lautenbacher, 4049 Via Marina # M-203, Marina Del Rey, CA 90292-6267 Ph: (310) 418-5509 | Richard Joseph Lautenbacher, 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 Ph: (323) 965-1365 |
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