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Contact Information

RANDALL L BALDASSARRE, MD
200 W ARBOR DR
SAN DIEGO, CA92103-9000
 Phone: 800-926-8273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RANDALL L BALDASSARRE · (Male)

NPI Number 1568889921
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2014
Last updated 07/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A138073
Hospital affiliation(s)
  • SHARP CHULA VISTA MEDICAL CENTER - (Acute Care)
    751 MEDICAL CENTER COURT
    CHULA VISTA, CA 91911
  • SHARP CORONADO HOSPITAL AND HLTHCR CTR - (Acute Care)
    250 PROSPECT PLACE
    CORONADO, CA 92118
  • SHARP MEMORIAL HOSPITAL - (Acute Care)
    7901 FROST ST
    SAN DIEGO, CA 92123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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