Individual
RANDALL S. HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1539
(619) 446-1569
Mailing address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1539
(619) 446-1569
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G35063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G350630
—
CA
Enumeration date
08/08/2006
Last updated
06/19/2013
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