RANDALL MAXEY, MD, CORP

INGLEWOOD, CA
NPI1205141983
Entity TypeOrganization
Authorized ContactRANDALL MAXEY
President
310-680-1810
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2010-08-18
Last Update Date2011-03-01
Business Address
RANDALL MAXEY, MD, CORP
323 N PRAIRIE AVE STE 417
INGLEWOOD, CA 90301-4502
Phone number: 310-680-1810
Mailing Address
RANDALL MAXEY, MD, CORP
2980 N BEVERLY GLEN CIR STE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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