Rayne Ophelia Randall, is a
Rehabilitation Practitioner based in Altadena, California. Rayne Ophelia Randall is licensed to practice in * (Not Available) (license number ) and her current practice location is
760 Mountain View St, Altadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 798-6793.
NPI number for Rayne Ophelia Randall is 1780133256 and her current mailing address is 432 Chestnut Ave, San Bruno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780133256.
Healthcare Provider's Profile
| Full Name | Rayne Ophelia Randall |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 760 Mountain View St, Altadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780133256
- Provider Enumeration Date: 09/26/2016
- Last Update Date: 06/11/2020
Medical Identifiers
Medical identifiers for Rayne Ophelia Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780133256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rayne Ophelia Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rayne Ophelia Randall,
432 Chestnut Ave,
San Bruno, CA 94066-4124
Ph: (650) 271-2806 | Rayne Ophelia Randall,
760 Mountain View St,
Altadena, CA 91001-4925
Ph: (626) 798-6793 |
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