Randolph, Linda Marie
Randolph, Linda Marie is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 90, Los Angeles CA 90027-6062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Randolph, Linda Marie can be contacted via phone (323) 669-2178.Contact Information
Primary practice address
4650 W Sunset Blvd Ms# 90
Los Angeles CA 90027-6062
Phone: (323) 669-2178
Fax: (323) 665-5937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | G56326 | California |
Profile Details
| NPI number | 1255427324 |
|---|---|
| LBN Legal business name | Randolph, Linda Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255427324 | NPPES |
| California | MEDICAID | 00G563260A |
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