# RANDHAWA MEDICAL DOCTORS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336765619
- **Authorized official:** CHRISTOPHER CLAY (OPERATIONS MANAGER)
- **Authorized official phone:** (562) 490-9900

## Contact information

- **Practice address:** 701 E 28TH ST STE 419, LONG BEACH, CA 90806-2775
- **Practice address phone:** (562) 490-9900
- **Mailing address:** 2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
- **Mailing address phone:** (562) 951-5110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | NULL | Yes |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 10/06/2021