Randall A. Ichihana
NPI #1568455152 in San Rafael, California
Provider Information
- NPI Number
- 1568455152
- Entity Type
- Organization
- Organization Name
- Randall A. Ichihana
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Aug 29, 2005
- Last Updated
- Oct 4, 2012
Practice Location
- Address
- 1050 NORTHGATE DR
- Address 2
- SUITE 250 A
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-2526
- Phone
- (415) 925-1626
Authorized Official
- Name
- MR. RANDALL AKIRA ICHIHANA, R.C.P. , RPFT
- Title
- OWNER
- Phone
- (415) 925-1626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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