Randall Ricketts, D.O

NPI 1023192234 · on the registry since 2006 · sole proprietor

Practice

Address: 26991 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone: (949) 582-5430
Fax: (949) 348-9513
Organisation at this address: Bristol Park Medical Group, Inc
Memorialcare Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California