Randolph, Dillon Andrew
Randolph, Dillon Andrew is an sole proprietor health care provider with primary practice located at 3332 Huntley Dr , Los Alamitos CA 90720-3836. 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. Randolph, Dillon Andrew can be contacted via phone (562) 619-0647.Contact Information
Primary practice address
3332 Huntley Dr
Los Alamitos CA 90720-3836
Phone: (562) 619-0647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1790320620 |
|---|---|
| LBN Legal business name | Randolph, Dillon Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2019 |
| Last updated | Nov 14th, 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.
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