Jonathan D. Rand, M.d. Inc | |
4644 Lincoln Blvd 113 Marina Del Rey CA 90292-6313 | |
(310) 821-9800 | |
(310) 306-0263 |
Full Name | Jonathan D. Rand, M.d. Inc |
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Speciality | Internal Medicine |
Location | 4644 Lincoln Blvd, Marina Del Rey, California |
Authorized Official Name and Position | Jonathan D Rand (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3108219800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jonathan D. Rand, M.d. Inc 4644 Lincoln Blvd 113 Marina Del Rey CA 90292-6313 Ph: (310) 821-9800 | Jonathan D. Rand, M.d. Inc 4644 Lincoln Blvd 113 Marina Del Rey CA 90292-6313 Ph: (310) 821-9800 |
NPI Number | 1033483193 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 03/06/2012 |
Identifier | Type | State | Issuer |
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1033483193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G37418 (California) | Primary |
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