Cork, Randy Dean
Cork, Randy Dean is an individual health care provider with primary practice located at 1100 Monterey St Suite 210, San Luis Obispo CA 93401-3102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cork, Randy Dean can be contacted via phone (805) 542-9700.Contact Information
Primary practice address
1100 Monterey St Suite 210
San Luis Obispo CA 93401-3102
Phone: (805) 542-9700
Fax: (805) 542-0584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G78478 | California |
Profile Details
| NPI number | 1659338093 |
|---|---|
| LBN Legal business name | Cork, Randy Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 28th, 2009 - about 16 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.
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