Maxey, Randall Whitaker
Maxey, Randall Whitaker is an sole proprietor health care provider with primary practice located at 447 N Prairie Ave , Inglewood CA 90301-1413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maxey, Randall Whitaker can be contacted via phone (310) 680-1810.Contact Information
Primary practice address
447 N Prairie Ave
Inglewood CA 90301-1413
Phone: (310) 680-1810
Fax: (310) 680-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C38014 | California |
Profile Details
| NPI number | 1700944279 |
|---|---|
| LBN Legal business name | Maxey, Randall Whitaker |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Sep 26th, 2019 - about 5 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 | 1700944279 | NPPES |
| California | MEDICAID | 00C380140 |
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