Edward L. Riceberg, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A22329 Issued in CA

Legal business name

EDWARD L. RICEBERG, M.D., INC.

Practice address

9400 Brighton Way
Suite #410
Beverly Hills, CA 90210-4711

Phone

(310) 550-8028

Fax

(310) 278-1570

NPI assigned

Dec 29, 2006

Last updated

Sep 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Lawrence Riceberg, M.D.NPI 1861558173

Title

Owner

Phone

(310) 550-8028

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Lawrence Riceberg, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1861558173
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1316003635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE #410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104711",
            "telephone_number": "310-550-8028",
            "fax_number": "310-278-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE #410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104711",
            "telephone_number": "310-550-8028",
            "fax_number": "310-278-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. RICEBERG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "RICEBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-550-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A22329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.