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Derrick Randall

NPI 1366828790 · on the registry since 2015

Practice

Address
2521 Stockton Blvd # 7200
Sacramento, CA 95817
Phone
(916) 734-2801
Fax
(916) 703-5011
Clinicians at this address
6

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-07

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