Richard Protzel MD, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RICHARD PROTZEL MD, INC.

Practice address

9735 Wilshire Blvd # 249
Beverly Hills, CA 90212-2107

Phone

(310) 858-0774

Fax

(310) 858-0983

NPI assigned

Feb 5, 2007

Organization subpart

Yes

Parent organization

RICHARD PROTZEL MD,INC.As reported in NPPES

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

Authorized official

Name

Dr. Richard Protzel, M.D.NPI 1508988122

Title

Pathologist Owner

Phone

(310) 858-0874

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Protzel Pathology Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Richard Protzel MD Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Marvin Protzel, M.D.

  • Anatomic Pathology Physician
  • Beverly Hills, CA
  • NPI 1508988122
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1518006014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD # 249",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-858-0774",
            "fax_number": "310-858-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD # 249",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-858-0774",
            "fax_number": "310-858-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD PROTZEL MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD PROTZEL MD,INC.",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PROTZEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PATHOLOGIST OWNER",
        "authorized_official_telephone_number": "310-858-0874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB04134F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Protzel Pathology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Lawrence Riceberg, M.D.
• Richard a Rogachefsky, MD, PA
• Richard Corn, D.D.S., Inc.
• Richard E Sprague, DDS, Inc
• Richard Oelberger, PHD Psychological Services
• Richard S Horowitz, MD a Medical Corporation
• Richard Zoumalan, MD, Inc.
• Richardson Anesthesia PC
• Heather Richardson, M.D.
• Madison F Richardson, MD

• Clinical Medical Laboratory in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.