Randolph George Ice in Murrieta - Cardiopulmonary
Randolph George Ice - NPI 1851375083
Randolph George Ice is a Cardiopulmonary in Murrieta, California. Randolph George Ice practices all healthcare services and medical treatments related to Cardiopulmonary. The NPI Number for Randolph George Ice is 1851375083. The last update date is 2009-10-07.
Randolph George Ice's current location address is 25150 Hancock Ave, Murrieta, California. You can contact this provider via phone number 9516987720 and fax number 9516987451. The mailing address for Randolph George Ice is 25150 Hancock Ave, Murrieta, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph George Ice |
|---|---|
| Address | 25150 Hancock Ave, Murrieta, California |
| Phone Number | 9516987720 |
| Fax Number | 9516987451 |
| Sole Proprietor | N |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1851375083 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2009-10-07 |
Provider Mailing Address Detail
| Address | 25150 Hancock Ave |
|---|---|
| City | Murrieta |
| State | California (CA) |
| Post Code | 925625987 |
| Phone Number | 9516987720 |
| Fax Number | 9516987451 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiopulmonary |
|---|---|
| Taxonomy | 2251C2600X |
| Licence No | PT 6020 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00PT60200 | CA | BLUE SHIELD OF CALIFORNIA |
Post Comment/ Review Below
What is the unique identifier code issued to Randolph George Ice by the Centers for Medicare & Medicaid Services (CMS)?
The Randolph George Ice has been assigned the NPI (National Provider Identifier) 1851375083. 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 Randolph George Ice is located?
The Randolph George Ice is situated at the following address: 25150 Hancock Ave, Murrieta, CA, 925625987.
What is Randolph George Ice's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randolph George Ice is Cardiopulmonary, and the taxonomy code that classifies this field of practice is 2251C2600X.
When did the Randolph George Ice receive its 1851375083?
The Randolph George Ice was issued its 1851375083 on 2005-12-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Randolph George Ice, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randolph George Ice, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-07.