Randolph, Dillon Andrew

Randolph, Dillon Andrew is an sole proprietor health care provider with primary practice located at 3332 Huntley Dr , Los Alamitos CA 90720-3836. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Randolph, Dillon Andrew can be contacted via phone (562) 619-0647.

Contact Information

Primary practice address
3332 Huntley Dr Los Alamitos CA 90720-3836
Phone: (562) 619-0647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1790320620
LBN Legal business name Randolph, Dillon Andrew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2019
Last updated Nov 14th, 2019 - about 7 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

Popular Providers