| Adelaide L Randak Md Inc | |
|
6325 Topanga Canyon Blvd Suite 412 Woodland Hills CA 91367-2006 | |
| (818) 884-7050 | |
| (818) 884-2368 |
| Full Name | Adelaide L Randak Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6325 Topanga Canyon Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Adelaide Leri Randak (PRESIDENT) |
| Authorized Official Contact | 8188847050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adelaide L Randak Md Inc 6325 Topanga Canyon Blvd Suite 412 Woodland Hills CA 91367-2006 Ph: (818) 884-7050 | Adelaide L Randak Md Inc 6325 Topanga Canyon Blvd Suite 412 Woodland Hills CA 91367-2006 Ph: (818) 884-7050 |
| NPI Number | 1639210149 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 10/15/2010 |
| Medicare PECOS PAC ID | 4385837947 |
|---|---|
| Medicare Enrollment ID | O20101015000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639210149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G41364 (California) | Primary |
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