Randall Maxey, Md, Corp
NPI #1205141983 in Inglewood, California
Provider Information
- NPI Number
- 1205141983
- Entity Type
- Organization
- Organization Name
- Randall Maxey, Md, Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RANDALL MAXEY, MD, CORP
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 18, 2010
- Last Updated
- Mar 1, 2011
Practice Location
- Address
- 323 N PRAIRIE AVE
- Address 2
- STE 417
- City
- Inglewood
- State
- California
- ZIP Code
- 90301-4502
- Phone
- (310) 680-1810
Authorized Official
- Name
- RANDALL MAXEY, MD
- Title
- PRESIDENT
- Phone
- (310) 680-1810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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