Individual provider · Type 1 NPI
Chester Julius Randle Jr., MD
Specialist · San Leandro, CA
NPI number
1962544577
Active
Practice location
2121 George Mark Ln
San Leandro, CA 94578-1017
Fax (510) 346-4620
Mailing address
6577 Glen Oaks Way
Oakland, CA 94611-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G74760 (CA) |
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.
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About NPI 1962544577
Chester Julius Randle Jr., MD's National Provider Identifier is 1962544577, issued on Feb 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 8, 2007.