Betts, Randolph
Betts, Randolph is an sole proprietor health care provider with primary practice located at 274 W Badillo St , Covina CA 91723-1906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Betts, Randolph can be contacted via phone (626) 331-7369.Contact Information
Primary practice address
274 W Badillo St
Covina CA 91723-1906
Phone: (626) 331-7369
Fax: (626) 967-9869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A25707 | California |
Profile Details
| NPI number | 1932113685 |
|---|---|
| LBN Legal business name | Betts, Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932113685 | NPPES |
| California | MEDICAID | 00A257070 |
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