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NPI Code Detail

MEDICARE: DR. RANDY OSUNA PH.D.

MEDICARE:  DR. RANDY  OSUNA  PH.D.
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
1103TC0700XClinical PsychologistPSY20702CA

General Provider Information

NPI Number : 1609992627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDY OSUNA PH.D.
Provider Business Mailing Address
First Line : 5151 N PALM AVE
Second Line : STE 605
City : FRESNO
State : CA
Zip : 93704-2208
Country : US
Telephone Number : 559-441-3538
Fax Number :
Provider Business Practice Location Address
First Line : 5151 N PALM AVE
Second Line : STE 605
City : FRESNO
State : CA
Zip : 93704-2208
Country : US
Telephone Number : 559-441-3538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 05/30/2019

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Directions to “ DR. RANDY OSUNA PH.D.” Practice Location

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