Individual
RANDALL A AMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COUNTRY CLUB PLZ, ORINDA, CA 94563-2308
(925) 254-3805
(925) 254-9783
Mailing address
1 COUNTRY CLUB PLZ, ORINDA, CA 94563-2308
(925) 254-3805
(925) 254-9783
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C38335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C383350
LICENSE
CA
01
—
94-1741627
TAX ID#
CA
Enumeration date
10/06/2006
Last updated
05/29/2008
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