Basic Information
Provider Information
NPI: 1245238765
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZARRIELLO
FirstName: RICHARD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 496048
Address2:  
City: REDDING
State: CA
PostalCode: 960496048
CountryCode: US
TelephoneNumber: 5302255200
FaxNumber: 5302255977
Practice Location
Address1: 2640 BRESLAUER WAY
Address2:  
City: REDDING
State: CA
PostalCode: 960014246
CountryCode: US
TelephoneNumber: 5302255200
FaxNumber: 5302255977
Other Information
ProviderEnumerationDate: 07/08/2005
LastUpdateDate: 08/25/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XG80743CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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