Estrada, Randy R.

Estrada, Randy R. is an individual health care provider with primary practice located at 10800 Magnolia Ave , Riverside CA 92505-3043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Estrada, Randy R. can be contacted via phone (909) 353-2000.

Contact Information

Primary practice address
10800 Magnolia Ave Riverside CA 92505-3043
Phone: (909) 353-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A45259 California

Profile Details

NPI number 1730231192
LBN Legal business name Estrada, Randy R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Nov 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730231192 NPPES
California MEDICAID 00A452590

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