Basic Information
Provider Information
NPI: 1073509030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LLOYD
FirstName: RICHARD
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2151 N HARBOR BLVD STE 3200
Address2:  
City: FULLERTON
State: CA
PostalCode: 928353826
CountryCode: US
TelephoneNumber: 7144465900
FaxNumber: 7144494956
Practice Location
Address1: 2151 N HARBOR BLVD STE 3200
Address2:  
City: FULLERTON
State: CA
PostalCode: 928353826
CountryCode: US
TelephoneNumber: 7144465900
FaxNumber: 7144465800
Other Information
ProviderEnumerationDate: 09/26/2005
LastUpdateDate: 11/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202XG35902CAY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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