Individual
DR. DAVID RANDALL RADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, STE 1600, LOS ANGELES, CA 90033-5310
(323) 442-7450
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G41435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G414350
BLUE SHIELD
CA
05
—
00G414350
—
CA
01
—
00G414350G56
CAL OPTIMA
CA
Enumeration date
06/16/2006
Last updated
11/30/2007
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