Individual
JESSICA RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12715 PIONEER BLVD, NORWALK, CA 90650-2873
(310) 747-3165
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15435
CA
Other
Enumeration date
04/13/2015
Last updated
03/28/2025
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