Individual provider · Type 1 NPI

Tony D. Randle

Rehabilitation Practitioner · Pasadena, CA

NPI number 1528181567 Active

Practice location

2055 Lincoln Ave
Pasadena, CA 91103-1324

Call (626) 798-6793 Map

Mailing address

736 E Mission Rd, Apt C
San Gabriel, CA 91776-2856

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1528181567

Tony D. Randle's National Provider Identifier is 1528181567, issued on Apr 6, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on Sep 11, 2025.