Falk, Randolph Jay

Falk, Randolph Jay is an sole proprietor health care provider with primary practice located at 11030 Valley Mall , El Monte CA 91731-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Falk, Randolph Jay can be contacted via phone (626) 444-4545.

Contact Information

Primary practice address
11030 Valley Mall El Monte CA 91731-2617
Phone: (626) 444-4545
Fax: (626) 444-8989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C41643 California

Profile Details

NPI number 1043294507
LBN Legal business name Falk, Randolph Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Feb 10th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043294507 NPPES
California Other C41643 CA MEDICAL LICENSE #
California MEDICAID 00C416430 CA MEDICAL LICENSE #

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