Individual provider · NPI-1

Richard Mbiad

Specialist/Technologist, Athletic Trainer · Stanford, CA

NPI number1336030881
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1336030881
Entity type
Individual (NPI-1)
Name
Richard Mbiad
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 14, 2025
Certification date
Jul 13, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

285 Santa Teresa St
Stanford, CA 94305-8001

Phone 650-498-0765

Mailing address

334 Pacific Ave
Pacifica, CA 94044-2622

Phone 415-797-8149

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