R G W Multi Specialty Medical Group Inc

NPI 1104127505 - Clinic/Center - 261QR0200X

NPI Details
NPI 1104127505
Enumeration Date 11/16/2010
Last Updated 11/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RANDALL G RANDALL
Position OWNER
Phone (818) 955-9902
Fax (818) 955-9987
Practice Location
1915 W GLENOAKS BLVD
SUITE 101
GLENDALE CA, 91201-1541, US
Phone (818) 955-9902
Fax (818) 955-9987
Business Location
1915 W GLENOAKS BLVD
SUITE 101
GLENDALE CA, 91201-1541, US
Phone (818) 955-9902
Fax (818) 955-9987
Toxanomy
Taxonomy Code 261QR0200X
License State
License Number
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According to our database, R G W Multi Specialty Medical Group Inc NPI is 1104127505, taxonomy code is 261QR0200X R G W Multi Specialty Medical Group Inc physically located at 1915 W Glenoaks Blvd, Glendale CA, 91201-1541. NPI Number 1033115704 has the healthcare provider type.

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1104127505 NPI number is provided on an as is basis without warranty of any kind. 1104127505 is maintained by the National Plan & Provider Enumeration System. The contents of R G W Multi Specialty Medical Group Inc are for informational purposes only.