Individual provider · Type 1 NPI
Randall William Fowler JR Jr.
Specialist · Jurupa Valley, CA
NPI number
1386243566
Active
Practice location
9036 Mission Blvd Unit 338
Jurupa Valley, CA 92509-2816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1386243566
Randall William Fowler JR Jr.'s National Provider Identifier is 1386243566, issued on Oct 20, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jurupa Valley, CA. The record was last updated on Jul 31, 2026.