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Randolph George Ice

Physical Therapist Cardiopulmonary

25150 Hancock Ave Ste 100
Murrieta , California 92562-5987

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Randolph George Ice

Physical Therapist Cardiopulmonary

25150 Hancock Ave Ste 100
Murrieta , California 92562-5987

(951) 973-7216

Write a Review Save Call

Randolph George Ice

Physical Therapist Cardiopulmonary

25150 Hancock Ave Ste 100
Murrieta , California 92562-5987

(951) 973-7216 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Cardiopulmonary

Languages spoken

  • English

Location

25150 Hancock Ave Ste 100 Murrieta , California 92562-5987

First Address

  • Randolph George Ice
  • 24630 Washington Ave Ste 200
  • Murrieta, CA
  • Zip : 92562-6177
  • Fax : (951) 973-7216
  • Phone : (951) 696-9353

Second Address

  • Randolph George Ice
  • 25150 Hancock Ave Ste 100
  • Murrieta, CA
  • Zip : 92562-5987
  • Fax : (951) 698-7451
  • Phone : (951) 698-7720

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FAQs


Where did Randolph George Ice attend graduate school?

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Where did Randolph George Ice do his residency?

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Where did Randolph George Ice do his fellowship?

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Is Randolph George Ice board certified?

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What type of doctor is Randolph George Ice

Physical Therapist

In what state does Randolph George Ice practice in?

California

Where is Randolph George Ice ’s practice located?

25150 Hancock Ave Ste 100 , Murrieta, California, 92562-5987

What is Randolph George Ice ’s gender?

Male

Is Randolph George Ice a sole practitioner?

No

Is Randolph George Ice accepting new patients?

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What languages does Randolph George Ice speak?

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Does Randolph George Ice accept insurance?

Yes, Randolph George Ice accepts insurance

Does Randolph George Ice offers telemedicine?

Randolph George Ice has not indicated if he offers telemedicine

What is Randolph George Ice ’s professional license number?

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What is Randolph George Ice ’s NPI number?

1851375083

Does Randolph George Ice have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225100000X Physical Therapist PT6020 CA
N 2251C2600X Cardiopulmonary PT 6020 CA

National Provider Identifier

NPI 1851375083
Provider Name Randolph George Ice
First Address Murrieta, CA 92562-6177
Second Address Murrieta, CA 92562-5987
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/12/2005
Last Update Date 07/10/2009

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00PT60200 BLUE SHIELD OF CALIFORNIA (01) CA
S00965 (02) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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