Gilman, Randal Keith

Gilman, Randal Keith is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gilman, Randal Keith can be contacted via phone (909) 558-4475.

Contact Information

Primary practice address
11234 Anderson St Loma Linda CA 92354-2804
Phone: (909) 558-4475
Fax: (909) 558-4143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14703 California

Profile Details

NPI number 1003863432
LBN Legal business name Gilman, Randal Keith
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jun 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003863432 NPPES
California MEDICAID PA14703
California MEDICAID GR0058270
California MEDICAID GR0058271

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