Individual
DR. RANDALL GEORGE MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 N THIRD ST, LOMPOC, CA 93436-7002
(805) 736-1253
(805) 736-3193
Mailing address
136 N THIRD ST, LOMPOC, CA 93436-7002
(805) 736-1253
(805) 736-3193
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
17690
NC
207Y00000X
Otolaryngology Physician
G35715
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
17690
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G35715
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
17690
NC
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
G35715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G357150
—
CA
Enumeration date
07/10/2006
Last updated
05/27/2010
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