Adelaide L Randak MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G41364 Issued in CA

Legal business name

ADELAIDE L RANDAK MD INC

Practice address

6325 Topanga Canyon Blvd
Suite 412
Woodland Hills, CA 91367-2006

Phone

(818) 884-7050

Fax

(818) 884-2368

NPI assigned

Feb 8, 2007

Last updated

Oct 15, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adelaide Leri Randak, MD

Title

President

Phone

(818) 884-7050

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1639210149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 412",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-884-7050",
            "fax_number": "818-884-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 412",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-884-7050",
            "fax_number": "818-884-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELAIDE L RANDAK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "RANDAK",
        "authorized_official_first_name": "ADELAIDE",
        "authorized_official_middle_name": "LERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-884-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G41364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.