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Organization
RANDY HAWKINS, M.D., INC
Active
Organization
RANDY HAWKINS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY HAWKINS M.D. (PRESIDENT)
(310) 674-1970
Entity
Organization
Contact information
Practice address
644 E REGENT ST, #200, INGLEWOOD, CA 90301-1433
(310) 674-1970
(310) 674-7712
Mailing address
6709 LA TIJERA BLVD, #500, LOS ANGELES, CA 90045-2017
(310) 674-1970
(310) 674-7712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G49354
CA
207RP1001X
Pulmonary Disease Physician
G49354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G493540
—
CA
Enumeration date
05/17/2010
Last updated
05/17/2010
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