Basic Information
| Provider Information | |||||||||
| NPI: | 1366488694 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLATER | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | GIUSEPPI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SLATER | ||||||||
| OtherFirstName: | R | ||||||||
| OtherMiddleName: | GIUSEPPI | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2524 H DELA ROSA SR ST | ||||||||
| Address2: | |||||||||
| City: | SOLEDAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939603383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316788899 | ||||||||
| FaxNumber: | 8316784545 | ||||||||
| Practice Location | |||||||||
| Address1: | 2524 H DELA ROSA SR ST | ||||||||
| Address2: | |||||||||
| City: | SOLEDAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939603383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316788899 | ||||||||
| FaxNumber: | 8316784545 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2006 | ||||||||
| LastUpdateDate: | 12/18/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | G48516 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.