Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camille Renee Richardson

Individual provider Physician Assistant · NPI 1336758705

Camille Renee Richardson is a Physician Assistant in Pomona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 623-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58675 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1336758705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESSeptember 26, 2023
Certification dateJanuary 26, 2023

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