Rea, Randall James

Rea, Randall James is an individual health care provider with primary practice located at 700 Frederick St Ste 203 , Santa Cruz CA 95062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Rea, Randall James can be contacted via phone (831) 425-1906.

Contact Information

Primary practice address
700 Frederick St Ste 203 Santa Cruz CA 95062
Phone: (831) 425-1906
Fax: (831) 469-8764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G54615 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G54615 California

Profile Details

NPI number 1174556724
LBN Legal business name Rea, Randall James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 7th, 2016 - about 10 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 1174556724 NPPES
California MEDICAID GR0056730

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