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NPI Code Detail

MEDICARE: DR. RANDALL OFORI

MEDICARE: DR. RANDALL OFORI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist62342CA

General Provider Information

NPI Number : 1124305974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDALL OFORI
Provider Business Mailing Address
First Line : 5773 MISSION CENTER RD
Second Line : #203
City : SAN DIEGO
State : CA
Zip : 92108-4381
Country : US
Telephone Number : 619-550-7499
Fax Number :
Provider Business Practice Location Address
First Line : 215 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-7243
Country : US
Telephone Number : 619-401-0761
Fax Number : 619-401-3435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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Directions to “ DR. RANDALL OFORI ” Practice Location

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