Anderson, Randal W.

Anderson, Randal W. is an individual health care provider with primary practice located at 10725 International Dr , Rancho Cordova CA 95670-7967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Anderson, Randal W. can be contacted via phone (916) 631-3000.

Contact Information

Primary practice address
10725 International Dr Rancho Cordova CA 95670-7967
Phone: (916) 631-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G63025 California

Profile Details

NPI number 1144308818
LBN Legal business name Anderson, Randal W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - 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 1144308818 NPPES
California MEDICAID 00G630250

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