Wilson, Randolph

Wilson, Randolph is an individual health care provider with primary practice located at 8787 Hall Road , Lamont CA 93241. 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. Wilson, Randolph can be contacted via phone (661) 845-3731.

Contact Information

Primary practice address
8787 Hall Road Lamont CA 93241
Phone: (661) 845-3731
Fax: (661) 845-1157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18766 California

Profile Details

NPI number 1457496937
LBN Legal business name Wilson, Randolph
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 18 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

Popular Providers