MR. RANDALL DUKE LEALOFI WENDT OLO RN NPI 1700652369

NPI Information

NPI: 1700652369
Provider Name: MR. RANDALL DUKE LEALOFI WENDT OLO, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
28641 HIGHPOINT AVE
MORENO VALLEY, CA
ZIP 92555
Phone: (951) 207-8575
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MR. Randall Duke Lealofi Wendt Olo, RN is a psychiatric/mental health and adult registered nurse in Moreno Valley, CA. MR. Randall Duke Lealofi Wendt Olo, RN NPI is 1700652369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28641 HIGHPOINT AVE
MORENO VALLEY, CA
ZIP 92555-002
Phone: (951) 207-8575

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN95336194	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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