Individual
RANDALL REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST, DEPARTMENT OF RADIOLOGY, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
2051 MARENGO ST, DEPARTMENT OF RADIOLOGY, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A158156
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2017
Last updated
04/15/2021
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