Dr Julianne E Randolph, DO | |
400 W Mineral King Ave, Visalia, CA 93291-6237 | |
(559) 624-2245 | |
(559) 635-6270 |
Full Name | Dr Julianne E Randolph |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 400 W Mineral King Ave, Visalia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508189952 | NPI | - | NPPES |
1508189952 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A11064 (California) | Primary |
Entity Name | Valley Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
Mailing Address | Practice Location Address |
---|---|
Dr Julianne E Randolph, DO 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 Ph: (559) 353-5700 | Dr Julianne E Randolph, DO 400 W Mineral King Ave, Visalia, CA 93291-6237 Ph: (559) 624-2245 |
Dr. Kathryn Hall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7500 Fax: 559-738-7560 | |
Lance Toshio Tomooka, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7500 Fax: 559-738-7560 | |
Dr. Rupa Varma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 North Bridge Street, Visalia, CA 93291 Phone: 559-734-1939 Fax: 559-734-4384 | |
Dr. Saba Halim Khalid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 595-738-7505 Fax: 559-738-7560 | |
Dr. Wilson S Chen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Bridge St, Visalia, CA 93291 Phone: 559-734-1939 Fax: 559-734-4384 | |
Dr. Catherine A Mcninch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7500 Fax: 559-738-7650 | |
Kelsey Raeann Leyendekker, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8150 Avenue 360, Visalia, CA 93291 Phone: 559-786-3104 |