Healthcare Provider Details

I. General information

NPI: 1285020594
Provider Name (Legal Business Name): JESSICA RANDELL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12715 PIONEER BLVD
NORWALK CA
90650-2873
US

IV. Provider business mailing address

108 W VICTORIA ST
GARDENA CA
90248-3523
US

V. Phone/Fax

Practice location:
  • Phone: 310-747-3165
  • Fax:
Mailing address:
  • Phone: 310-715-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number15435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: