Randall Clyde Wetzel in Los Angeles - Critical Care Medicine

Randall Clyde Wetzel - NPI 1770686552

Randall Clyde Wetzel is a Critical Care Medicine in Los Angeles, California. Randall Clyde Wetzel practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Randall Clyde Wetzel is 1770686552. The last update date is 2012-01-13.

Randall Clyde Wetzel's current location address is 6430 W Sunset Blvd, Los Angeles, California. You can contact this provider via phone number 3233612557 and fax number 3236448488. The mailing address for Randall Clyde Wetzel is 6430 W Sunset Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Clyde Wetzel
Address 6430 W Sunset Blvd, Los Angeles, California
Phone Number 3233612557
Fax Number 3236448488
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770686552
Provider Enumeration Date 2006-09-06
Last Updated Date 2012-01-13

Provider Mailing Address Detail

Address 6430 W Sunset Blvd
City Los Angeles
State California (CA)
Post Code 900287901
Phone Number 3233612557
Fax Number 3236448488

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No C50084
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00C500840 CA --

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FAQs about Randall Clyde Wetzel

What is the unique identifier code issued to Randall Clyde Wetzel by the Centers for Medicare & Medicaid Services (CMS)?

The Randall Clyde Wetzel has been assigned the NPI (National Provider Identifier) 1770686552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Randall Clyde Wetzel is located?

The Randall Clyde Wetzel is situated at the following address: 6430 W Sunset Blvd, Los Angeles, CA, 900287901.

What is Randall Clyde Wetzel's specialized field of practice, and what is the corresponding taxonomy classification code?

The Randall Clyde Wetzel's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770686552 to Randall Clyde Wetzel?

The Centers for Medicare & Medicaid Services assigned the 1770686552 to Randall Clyde Wetzel on 2006-09-06.

As of what date was the information regarding Randall Clyde Wetzel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randall Clyde Wetzel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-13.

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