| Randall Maxey Md Corp | |
|
323 N Prairie Ave Suite 417 Inglewood CA 90301-4502 | |
| (310) 680-1810 | |
| (310) 680-1811 |
| Full Name | Randall Maxey Md Corp |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 323 N Prairie Ave, Inglewood, California |
| Authorized Official Name and Position | Randall W Maxey (PRESIDENT) |
| Authorized Official Contact | 3106801810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Maxey Md Corp Po Box 83246 Los Angeles CA 90083-0246 Ph: (310) 680-1810 | Randall Maxey Md Corp 323 N Prairie Ave Suite 417 Inglewood CA 90301-4502 Ph: (310) 680-1810 |
| NPI Number | 1548329485 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548329485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (California) | Primary |
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