Most Relevant Information
Provider Data
| NPI Number: | 1003217068 |
| Provider Name: | CHESA RICHMOND |
| Entity Type: | Individual |
| Taxonomy Code: | 1744P3200X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2014 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
275 W HOSPITALITY LN STE 103
SAN BERNARDINO
CA
924083238
Practice Location Phone/Fax
| Phone: | 9095672221 |
| Fax: | 9097633216 |
Provider Mailing Location
11660 CHURCH ST APT 492
RANCHO CUCAMONGA
CA
917308945
Provider Mailing Phone/Fax
| Phone: | 2022470653 |
| Fax: |