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Organization

JOSH RANDALL, MD A MED CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSH RANDALL MD (OWNER PRESIDENT)
(949) 364-1000
Entity
Organization

Contact information

Practice address
26800 CROWN VALLEY PKWY, #445, MISSION VIEJO, CA 92691-6384
(949) 364-1000
Mailing address
26800 CROWN VALLEY PKWY, #445, MISSION VIEJO, CA 92691-6384
(949) 364-1000

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
08/28/2007
Last updated
06/02/2008
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