Williams, Randal Reginald

Williams, Randal Reginald is an sole proprietor health care provider with primary practice located at 26137 La Paz Rd Ste 230 , Mission Viejo CA 92691-5337. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Williams, Randal Reginald can be contacted via phone (949) 595-8610.

Contact Information

Primary practice address
26137 La Paz Rd Ste 230 Mission Viejo CA 92691-5337
Phone: (949) 595-8610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003334152
LBN Legal business name Williams, Randal Reginald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2017
Last updated Sep 21st, 2017 - about 9 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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