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Organization
RANDALL HEALTHCARE INC
Active
Organization
RANDALL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LEROY TAN MD (MD)
(510) 342-2239
Entity
Organization
Contact information
Practice address
350 30TH ST, #100, OAKLAND, CA 94609-3424
(510) 342-2239
(510) 380-7143
Mailing address
360 GRAND AVE, #332, OAKLAND, CA 94610-4840
(510) 342-2239
(510) 380-7143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G62879
CA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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