Vallero, Randell
Vallero, Randell is an individual health care provider with primary practice located at 4 Medical Plaza Dr Ste 205 , Roseville CA 95661-2815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Vallero, Randell can be contacted via phone (916) 773-6200.Contact Information
Primary practice address
4 Medical Plaza Dr Ste 205
Roseville CA 95661-2815
Phone: (916) 773-6200
Fax: (916) 782-4550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A71917 | California |
Profile Details
| NPI number | 1669512687 |
|---|---|
| LBN Legal business name | Vallero, Randell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jun 20th, 2019 - about 6 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 | 1669512687 | NPPES |
| California | Other | ZZZ29516Z | MEDICARE ID - LINCOLN |
| California | Other | ZZZ43589Z | MEDICARE ID - LINCOLN |
| California | Other | A71917 | MEDICARE ID - LINCOLN |
| California | Other | ZZZ13842Z | MEDICARE ID - LINCOLN |
| California | Other | ZZZ13841Z | MEDICARE ID - LINCOLN |
Popular Providers
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Canio, John B.
4 Medical Plaza Dr Ste 205 , Roseville CA 95661-2815 -
Zajac, Walter J.
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5 Medical Plaza Dr Ste 140 , Roseville CA 95661 -
Lamiel, Gerardo
1600 Eureka Rd , Roseville CA 95661-3027 -
Eltorai, Mahmoud I.
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Balasubramanian, Sreepriya
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Dhillon, Rahul Singh
5 Medical Plaza Dr Suite 140, Roseville CA 95661