Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD DEZA
Active Sole ProprietorRICHARD DEZA is a Contractor healthcare provider located in ROHNERT PARK, California. NPI 1306217245 is currently active in the NPPES registry. Verify at CMS.
Contractor · ROHNERT PARK, CA
Registration Details
- NPI Number
- 1306217245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2015 (10.838600851083 yrs)
- Last Updated
- Oct 19, 2015
- License
-
0I65079 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6095 COUNTRY CLUB DRROHNERT PARK, CA, 949282254Browse CA providers · Browse ZIP 94928
- Phone
- 4159486552
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.