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General NPI Number Information
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NPI Number | 1851620959
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Entity Type | Organization
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Legal Business Name | R M G APC
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 444 W OCEAN BLVD STE 1501
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City | LONG BEACH
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State | CA
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Zip | 90802-4616
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Country | US
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Telephone | 562-754-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 5471 E THE TOLEDO
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City | LONG BEACH
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State | CA
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Zip | 90803-3953
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Country | US
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Telephone | 562-754-1110
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RANDA M GARRANA
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Credential | MD
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Telephone | 562-754-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A061926
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License Number State | CA
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