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NPI Code Detail

MEDICARE: DR. JOSH MATTHEW RANDALL MD

MEDICARE: DR. JOSH MATTHEW RANDALL MD
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
1208800000XUrology PhysicianA85620CA

General Provider Information

NPI Number : 1912962614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSH MATTHEW RANDALL MD
Provider Business Mailing Address
First Line : 23961 CALLE DE LA MAGDALENA STE 500
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-7622
Country : US
Telephone Number : 949-855-1101
Fax Number : 949-289-9171
Provider Business Practice Location Address
First Line : 23961 CALLE DE LA MAGDALENA STE 500
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-7622
Country : US
Telephone Number : 498-551-1019
Fax Number : 949-289-9171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 10/22/2025

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Directions to “ DR. JOSH MATTHEW RANDALL MD” Practice Location

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