Chambers, Randolph

Chambers, Randolph is an individual health care provider with primary practice located at 1796 Bay Rd , East Palo Alto CA 94303-1611. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Chambers, Randolph can be contacted via phone (650) 462-6999.

Contact Information

Primary practice address
1796 Bay Rd East Palo Alto CA 94303-1611
Phone: (650) 462-6999
Fax: (650) 462-1055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 410027AN California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4100274LN California

Profile Details

NPI number 1336463397
LBN Legal business name Chambers, Randolph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Oct 28th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336463397 NPPES
California MEDICAID WILLIAMSHOUSE I &II
California MEDICAID WALKERHOUSE2

Popular Providers