Organization
PLATINUM MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RANDALL (CHIEF EXECUTIVE OFFICER)
(562) 402-2818
Entity
Organization
Contact information
Practice address
21520 PIONEER BLVD STE 203, HAWAIIAN GARDENS, CA 90716-2601
(562) 402-2818
(800) 373-9195
Mailing address
21520 PIONEER BLVD STE 203, HAWAIIAN GARDENS, CA 90716-2601
(562) 402-2818
(800) 373-9195
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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