Individual
KEITH RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 HIGHLAND DR, NEWPORT BEACH, CA 92660-4408
(949) 689-8880
Mailing address
2100 HIGHAND DRIVE, NEWPORT BEACH, CA 92660-4408
(949) 689-8880
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLR00348278
CA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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