Individual
DR. RANDALL H. SAFARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 OAK PARK BLVD STE 203, PISMO BEACH, CA 93449-3400
(805) 473-7950
(805) 473-7954
Mailing address
PO BOX 2208, PISMO BEACH, CA 93448-2208
(805) 431-1450
(805) 474-4760
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G77059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G770590
MEDI-CAL
CA
Enumeration date
01/10/2007
Last updated
07/08/2007
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