Randee Denice Willis in Torrance - Physician Assistant
Randee Denice Willis - NPI 1073618260
Randee Denice Willis is a Physician Assistant in Torrance, California. Randee Denice Willis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randee Denice Willis is 1073618260. The last update date is 2021-10-29.
Randee Denice Willis's current location address is 23456 Hawthorne Blvd Ste 100, Torrance, California. You can contact this provider via phone number 3105405272 and fax number 3105407271. The mailing address for Randee Denice Willis is 23456 Hawthorne Blvd Ste 100, Torrance, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randee Denice Willis |
|---|---|
| Address | 23456 Hawthorne Blvd Ste 100, Torrance, California |
| Phone Number | 3105405272 |
| Fax Number | 3105407271 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073618260 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2021-10-29 |
Provider Mailing Address Detail
| Address | 23456 Hawthorne Blvd Ste 100 |
|---|---|
| City | Torrance |
| State | California (CA) |
| Post Code | 905054752 |
| Phone Number | 3105405272 |
| Fax Number | 3105407271 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 13139PA |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13139PA | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Randee Denice Willis's 1073618260?
The Randee Denice Willis's NPI (National Provider Identifier) Number is 1073618260. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randee Denice Willis's facilities are situated?
The facilities of Randee Denice Willis are physically located at the following address: 23456 Hawthorne Blvd Ste 100, Torrance, CA, 905054752.
What is Randee Denice Willis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randee Denice Willis is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073618260 to Randee Denice Willis?
The Centers for Medicare & Medicaid Services originally issued the 1073618260 to Randee Denice Willis on 2006-09-13.
As of what date was the information pertaining to Randee Denice Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randee Denice Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-29.