Cork, Randy Dean

Cork, Randy Dean is an individual health care provider with primary practice located at 1100 Monterey St Suite 210, San Luis Obispo CA 93401-3102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cork, Randy Dean can be contacted via phone (805) 542-9700.

Contact Information

Primary practice address
1100 Monterey St Suite 210 San Luis Obispo CA 93401-3102
Fax: (805) 542-0584
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G78478 California

Profile Details

NPI number 1659338093
LBN Legal business name Cork, Randy Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 28th, 2009 - about 16 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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