SearchCalifornia291U00000X

Keith Randle

NPI 1285001438 · on the registry since 2015 · sole proprietor

Practice

Address
2100 Highland Dr
Newport Beach, CA 92660
Phone
(949) 689-8880

Registry record

Primary taxonomy
291U00000X
291U00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-24

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