| Richard A. Compton, D.o., A Professional Corporation | |
|
1109 Foothill Blvd La Canada CA 91011 | |
| (818) 643-7128 | |
| (818) 514-2383 |
| Full Name | Richard A. Compton, D.o., A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1109 Foothill Blvd, La Canada, California |
| Authorized Official Name and Position | Richard Alan Compton (PRESIDENT) |
| Authorized Official Contact | 8186437128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Compton, D.o., A Professional Corporation Po Box 788 La Canada CA 91012-0788 Ph: (818) 643-7128 | Richard A. Compton, D.o., A Professional Corporation 1109 Foothill Blvd La Canada CA 91011 Ph: (818) 643-7128 |
| NPI Number | 1144839580 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 9234549031 |
|---|---|
| Medicare Enrollment ID | O20201106000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144839580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (* (Not Available)) | Secondary |
| Provider Name | Richard Alan Compton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215381777 PECOS PAC ID: 2961812763 Enrollment ID: I20201118001404 |
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