Organization
RANDALL FOOT AND ANKLE SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA RANDALL (CEO)
(267) 934-6996
Entity
Organization
Contact information
Practice address
2800 PACIFIC AVE STE D, LONG BEACH, CA 90806-1468
(562) 337-8401
Mailing address
6444 SAN FERNANDO RD UNIT 5611, GLENDALE, CA 91201-2124
(323) 672-6549
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
11/22/2021
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