Roberts, Randall F

Roberts, Randall F is an individual health care provider with primary practice located at 1019 S Central Ave , Glendale CA 91204-2210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Roberts, Randall F can be contacted via phone (818) 244-4374.

Contact Information

Primary practice address
1019 S Central Ave Glendale CA 91204-2210
Phone: (818) 244-4374
Fax: (818) 244-0633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A60385 California

Profile Details

NPI number 1114929809
LBN Legal business name Roberts, Randall F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114929809 NPPES
California MEDICAID GR0086630

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