Doctor Name: | MR. RANDALL BARTLETT |
NPI Number: | 1013042928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | AUD 444 |
Business Practice Address: | 23033 Lyons Ave Suite 3 Santa Clarita, CA - 913212727 |
Business Phone Number: | 6612591687 |
Business Fax Number: | 6612599684 |
Mailing Address: | 23033 Lyons Ave, Suite 3 SANTA CLARITA |
State: | CA |
Postal Code: | 913212727 |
Phone Number: | 6612591687 |
Fax Number: | 6612599684 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AUD 444 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |