THOMAS SULLIVAN RANDALL

ANAHEIM, CA
NPI1598329575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A180340)
Additional Taxonomies208M00000X Hospitalist
(Licence: CA  A180340)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-25
Last Update Date2022-08-29
Business Address
Dr. THOMAS SULLIVAN RANDALL MD
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801-2806
Phone number: 714-772-8282
Mailing Address
Dr. THOMAS SULLIVAN RANDALL MD
PO BOX 15090
ANAHEIM, CA 92803-5090
Phone number: 714-772-8282