| Randall Healthcare Inc | |
|
350 30th St #100 Oakland CA 94609-3424 | |
| (510) 342-2239 | |
| (510) 380-7143 |
| Full Name | Randall Healthcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 30th St, Oakland, California |
| Authorized Official Name and Position | Randall Leroy Tan (MD) |
| Authorized Official Contact | 5103422239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Healthcare Inc 360 Grand Ave #332 Oakland CA 94610-4840 Ph: (510) 342-2239 | Randall Healthcare Inc 350 30th St #100 Oakland CA 94609-3424 Ph: (510) 342-2239 |
| NPI Number | 1023385101 |
|---|---|
| Provider Enumeration Date | 11/17/2011 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023385101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G62879 (California) | Primary |
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