Randall, Michael C

Randall, Michael C is an sole proprietor health care provider with primary practice located at 4924 Balboa Blvd # 107 , Encino CA 91316-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Randall, Michael C can be contacted via phone (310) 601-4404.

Contact Information

Primary practice address
4924 Balboa Blvd # 107 Encino CA 91316-3402
Phone: (310) 601-4404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G37167 California

Profile Details

NPI number 1487896767
LBN Legal business name Randall, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2009
Last updated Apr 1st, 2009 - about 17 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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