Randall Healthcare Inc | |
350 30th St #100 Oakland CA 94609-3424 | |
(510) 342-2239 | |
(510) 380-7143 |
Full Name | Randall Healthcare Inc |
---|---|
Speciality | Internal Medicine |
Location | 350 30th St, Oakland, California |
Authorized Official Name and Position | Randall Leroy Tan (MD) |
Authorized Official Contact | 5103422239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Randall Healthcare Inc 360 Grand Ave #332 Oakland CA 94610-4840 Ph: (510) 342-2239 | Randall Healthcare Inc 350 30th St #100 Oakland CA 94609-3424 Ph: (510) 342-2239 |
NPI Number | 1023385101 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 11/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023385101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G62879 (California) | Primary |
News Archive
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