Individual
RANDOLPH JAY FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11030 VALLEY MALL, EL MONTE, CA 91731-2617
(626) 444-4545
(626) 444-8989
Mailing address
11030 VALLEY MALL, EL MONTE, CA 91731-2617
(626) 444-4545
(626) 444-8989
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C41643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C416430
—
CA
01
—
C41643
CA MEDICAL LICENSE #
CA
Enumeration date
11/30/2005
Last updated
02/10/2010
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