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Organization
PLATINUM MEDICAL GROUP
Active
Organization
PLATINUM MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RANDALL (PRESIDENT)
(562) 402-2818
Entity
Organization
Contact information
Practice address
21520 PIONEER BLVD STE 203, HAWAIIAN GARDENS, CA 90716-2601
(562) 402-2818
(562) 402-2545
Mailing address
27762 ANTONIO PKWY STE L1-433, LADERA RANCH, CA 92694-1140
(562) 402-2818
(562) 402-2545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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