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Organization
RANDHIR KABOO M.D. INC.
Active
Organization
RANDHIR KABOO M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDHIR KABOO M.D. (PRESIDENT)
(760) 255-0614
Entity
Organization
Contact information
Practice address
18300 HWY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
(760) 242-9167
Mailing address
101 S 1ST ST, 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A839630
BLUE SHIELD
CA
05
—
00A839630
—
CA
Enumeration date
08/04/2006
Last updated
08/22/2020
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