Ammon, Randall A

Ammon, Randall A is an individual health care provider with primary practice located at 1 Country Club Plz , Orinda CA 94563-2308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ammon, Randall A can be contacted via phone (925) 254-3805.

Contact Information

Primary practice address
1 Country Club Plz Orinda CA 94563-2308
Phone: (925) 254-3805
Fax: (925) 254-9783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X C38335 California

Profile Details

NPI number 1306933783
LBN Legal business name Ammon, Randall A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated May 29th, 2008 - about 17 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 1306933783 NPPES
California Other 94-1741627 TAX ID#
California Other 00C383350 TAX ID#

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