Individual
ROBIN RICARDO RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1801 VICENTE STREET, THE EDGEWOOD CENTER FOR CHILDREN AND FAMILIES, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
(415) 664-7094
Mailing address
1801 VICENTE STREET, THE EDGEWOOD CENTER FOR CHILDREN AND FAMILIES, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
(415) 664-7094
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A54103
CA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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