Search › California › 152WC0802X
Randall Conrad, O.D
NPI 1962617464 · on the registry since 2007
Practice
- Address
- 12845 Poway Rd
Ste. 209
Poway, CA 92064 - Phone
- (858) 748-6210
- Fax
- (858) 748-6224
- Organisation at this address
- Tae Hun Chung Dds Inc
Donald J. Janiuk O.D.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152WC0802X
152WC0802X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California