Individual
MR. RANDAL JOHN VECCHIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2542 2ND AVE, SAN DIEGO, CA 92103-6537
(619) 234-1674
(619) 234-1680
Mailing address
2542 2ND AVE, SAN DIEGO, CA 92103-6537
(619) 234-1674
(619) 234-1680
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
A34154
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A34154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A341540
—
CA
Enumeration date
07/25/2006
Last updated
08/09/2016
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