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Organization
KALYANI RANDERIA, M.D. INC
Active
Organization
KALYANI RANDERIA, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYANI RANDERIA M.D. (MEDICAL DIRECTOR)
(323) 724-9767
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD STE 405, MONTEBELLO, CA 90640-4317
(323) 724-9767
(323) 724-2722
Mailing address
101 E BEVERLY BLVD STE 405, MONTEBELLO, CA 90640-4317
(323) 724-9767
(323) 724-2722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A45174
CA
Other
Enumeration date
12/16/2010
Last updated
04/13/2011
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