Betts, Randolph

Betts, Randolph is an sole proprietor health care provider with primary practice located at 274 W Badillo St , Covina CA 91723-1906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Betts, Randolph can be contacted via phone (626) 331-7369.

Contact Information

Primary practice address
274 W Badillo St Covina CA 91723-1906
Phone: (626) 331-7369
Fax: (626) 967-9869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A25707 California

Profile Details

NPI number 1932113685
LBN Legal business name Betts, Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 9th, 2007 - about 18 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 1932113685 NPPES
California MEDICAID 00A257070

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