Individual
RANDALL CLYDE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2557
(323) 664-0728
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2557
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C50084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C500840
—
CA
Enumeration date
09/06/2006
Last updated
01/13/2012
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