Roll, Randall
Roll, Randall is an individual health care provider with primary practice located at 17772 Beach Blvd , Huntington Beach CA 92647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roll, Randall can be contacted via phone (714) 843-5000.Contact Information
Primary practice address
17772 Beach Blvd
Huntington Beach CA 92647
Phone: (714) 843-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OT016941 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A17512 | California |
Profile Details
| NPI number | 1376998849 |
|---|---|
| LBN Legal business name | Roll, Randall |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2016 |
| Last updated | Oct 17th, 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.
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