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Organization

RANDALL WEISSBUCH MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL GORDON WEISSBUCH MD (PRESIDENT)
(323) 277-5510
Entity
Organization

Contact information

Practice address
2736 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 277-5510
(323) 277-5530
Mailing address
2736 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 277-5510
(323) 277-5530

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A23285
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A232850
CA
Enumeration date
06/04/2008
Last updated
06/04/2008
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