Chan, Randall Yimbong
Chan, Randall Yimbong is an individual health care provider with primary practice located at 2020 Zonal Ave # Ird124 , Los Angeles CA 90089-0121. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Chan, Randall Yimbong can be contacted via phone (323) 226-3691.Contact Information
Primary practice address
2020 Zonal Ave # Ird124
Los Angeles CA 90089-0121
Phone: (323) 226-3691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A102847 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A102847 | California |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | A102847 | California |
Profile Details
| NPI number | 1821269804 |
|---|---|
| LBN Legal business name | Chan, Randall Yimbong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Apr 3rd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821269804 | NPPES |
| California | MEDICAID | 1821269804 |
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