Tristan Howard Randall, | |
3075 Myers St, Riverside, CA 92503-5525 | |
(951) 955-7108 | |
(951) 955-7205 |
Full Name | Tristan Howard Randall |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 3075 Myers St, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043693369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
Mailing Address | Practice Location Address |
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Tristan Howard Randall, 26371 Thoroughbred Ln, Moreno Valley, CA 92555-2927 Ph: (951) 202-5012 | Tristan Howard Randall, 3075 Myers St, Riverside, CA 92503-5525 Ph: (951) 955-7108 |
Dr. Randy Cima, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10001 County Farm Rd, Riverside, CA 92503 Phone: 951-343-2536 Fax: 951-729-3309 | |
Mrs. Pamela Moore-rached, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5320 Dorado Ct, Riverside, CA 92509 Phone: 951-684-2068 Fax: 951-684-2066 | |
Mrs. Destiny Jean Tedtaotao, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7600 Ambergate Pl Apt L202, Riverside, CA 92504 Phone: 310-433-6338 | |
Renee Wooten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4295 Brockton Ave, Riverside, CA 92501 Phone: 951-341-3786 Fax: 951-341-5316 | |
Vanessa Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6711 Arlington Ave, Riverside, CA 92504 Phone: 951-742-6380 | |
Marliz Alvarado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3576 Arlington Ave Ste 100, Riverside, CA 92506 Phone: 951-374-1555 Fax: 951-394-7426 | |
Brandon Walter Oare, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17270 Roosevelt St, Riverside, CA 92508 Phone: 951-780-2541 |