Wilson, Randirose

Wilson, Randirose is an sole proprietor health care provider with primary practice located at 5050 Barranca Pkwy , Irvine CA 92604-4652. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wilson, Randirose can be contacted via phone (626) 485-4150.

Contact Information

Primary practice address
5050 Barranca Pkwy Irvine CA 92604-4652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1356064133
LBN Legal business name Wilson, Randirose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2022
Last updated Aug 14th, 2026 - about 2 months 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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