Individual
DR. RANDALL F ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1019 S CENTRAL AVE, GLENDALE, CA 91204-2210
(818) 244-4374
(818) 244-0633
Mailing address
1019 S CENTRAL AVE, SUITE #530, GLENDALE, CA 91204-2210
(818) 244-4374
(818) 244-0633
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A60385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086630
—
CA
Enumeration date
08/11/2005
Last updated
12/04/2020
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