Individual
MR. RANDALL MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARALEGAL
Contact information
Practice address
18430 BROOKHURST ST STE 202M, FOUNTAIN VALLEY, CA 92708-6770
(714) 390-5643
Mailing address
18430 BROOKHURST ST STE 202M, FOUNTAIN VALLEY, CA 92708-6770
(714) 390-5643
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
PENDING
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
000000000000000
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
PENDING
CA
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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