Randazzo, Guy P.

Randazzo, Guy P. is an individual health care provider with primary practice located at 13522 Newport Ave Ste 102 , Tustin CA 92780-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Randazzo, Guy P. can be contacted via phone (714) 573-8200.

Contact Information

Primary practice address
13522 Newport Ave Ste 102 Tustin CA 92780-3707
Phone: (714) 573-8200
Fax: (714) 573-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A22452 California

Profile Details

NPI number 1881663979
LBN Legal business name Randazzo, Guy P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 30th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881663979 NPPES
California MEDICAID CB292883
California MEDICAID 1912919804

Popular Providers