Dr. Randall F Roberts
Cardiothoracic Vascular Surgeon
1019 S Central Ave
Glendale
, California 91204-2210
Dr. Randall F Roberts
Cardiothoracic Vascular Surgeon
1019 S Central Ave
Glendale
, California 91204-2210
(818) 244-0633
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Randall F Roberts
- 1019 S Central Ave Suite #530
- Glendale, CA
- Zip : 91204-2210
- Fax : (818) 244-0633
- Phone : (818) 244-4374
Second Address
- Dr. Randall F Roberts
- 1019 S Central Ave
- Glendale, CA
- Zip : 91204-2210
- Fax : (818) 244-0633
- Phone : (818) 244-4374
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | A60385 | CA |
National Provider Identifier
| NPI | 1114929809 |
|---|---|
| Provider Name | Dr. Randall F Roberts |
| First Address | Glendale, CA 91204-2210 |
| Second Address | Glendale, CA 91204-2210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 04/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| GR0086630 | (05) | CA |
| I12156 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.