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H. RANDALL HICKS M.D. INC H RANDALL HICKS PRES NPI 1497056386


NPI Information

NPI: 1497056386
Provider Name: H. RANDALL HICKS, M.D. INC, H RANDALL HICKS PRES
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4060 FOURTH AVE
SUITE 615
SAN DIEGO, CA
ZIP 92103
Phone: (619) 298-7135
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H. RANDALL HICKS, M.D. INC, H RANDALL HICKS PRES is a psychiatry psychiatry neurology in San Diego, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. H. RANDALL HICKS, M.D. INC, H RANDALL HICKS PRES NPI is 1497056386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4060 FOURTH AVE
SUITE 615
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 298-7135
Fax: (858) 874-8837

The provider's authorized official is H. Randall Hicks .
The authorized official title is President & Ceo and has the following contact phone number (619) 298-7135.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 3/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryG47439CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A92724MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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