NPI 1205141983
Randall Maxey, MD, Corp
Practice location
- Address
- 323 N Prairie Ave STE 417, Inglewood, CA 90301-4502
- Phone
- (310) 680-1810
- Mailing address
- 2980 N Beverly Glen Cir STE 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Randall Maxey
- Title
- President
- Phone
- (310) 680-1810
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1205141983
- Entity type
- Organization
- NPI issued
- 18 Aug 2010
- Record last updated
- 1 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.