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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DILLON ANDREW RANDOLPH

Active Sole Proprietor

DILLON ANDREW RANDOLPH is a Physician Assistant healthcare provider located in LOS ALAMITOS, California. NPI 1790320620 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LOS ALAMITOS, CA

Registration Details

NPI Number
1790320620
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2019 (6.742819902039 yrs)
Last Updated
Nov 14, 2019
Sole Proprietor
Yes

Practice Information

Address
3332 HUNTLEY DR
LOS ALAMITOS, CA, 907203836
Browse CA providers · Browse ZIP 90720
Phone
5626190647
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LOS ALAMITOS, CA

Name Credential NPI
MS. ANNE KELLY HALL PHYSICIAN ASSISTANT 1699794081
MRS. TERRI M REMBUSKOS PA-C 1689757627
LESLIE ANNETTE DAVIS PA 1144395799
MR. ALFRED T REYNO PA-C 1093832578
NICHOLAS JAY BRECHT PA-C 1205095205
ROBERTA MARIE SMITH PA 1316199714
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.