Organization
RANDALL A. ICHIHANA
Active
Other names
MARIN PULMONARY SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL AKIRA ICHIHANA R.C.P. , RPFT (OWNER)
(415) 925-1626
Entity
Organization
Contact information
Practice address
1050 NORTHGATE DR, SUITE 250 A, SAN RAFAEL, CA 94903-2526
(415) 925-1626
(415) 925-1826
Mailing address
PO BOX 11201, SAN RAFAEL, CA 94912-1201
(415) 925-1626
(415) 925-1826
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
08/29/2005
Last updated
10/04/2012
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