Randy Lon Munmon Jr, is a
Case Manager/care Coordinator based in Oakland, California. Randy Lon Munmon Jr is licensed to practice in California (license number ) and his current practice location is
724 36th St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(415) 845-1160.
NPI number for Randy Lon Munmon Jr is 1104633742 and his current mailing address is 1900 Powell St Ste 700, Emeryville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104633742.
Healthcare Provider's Profile
| Full Name | Randy Lon Munmon Jr |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 724 36th St, Oakland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104633742
- Provider Enumeration Date: 12/17/2024
- Last Update Date: 12/17/2024
Medical Identifiers
Medical identifiers for Randy Lon Munmon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104633742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | 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. Randy Lon Munmon Jr 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 |
|---|
Randy Lon Munmon Jr,
1900 Powell St Ste 700,
Emeryville, CA 94608-1889
Ph: (415) 845-1160 | Randy Lon Munmon Jr,
724 36th St,
Oakland, CA 94609-2328
Ph: (415) 845-1160 |
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