Provider Demographics
NPI:1699439943
Name:MORTON, RANDALL (PARALEGAL)
Entity type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:
Last Name:MORTON
Suffix:
Gender:M
Credentials:PARALEGAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18430 BROOKHURST ST STE 202M
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6770
Mailing Address - Country:US
Mailing Address - Phone:714-390-5643
Mailing Address - Fax:
Practice Address - Street 1:18430 BROOKHURST ST STE 202M
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6770
Practice Address - Country:US
Practice Address - Phone:714-390-5643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING207QH0002X, 207RH0002X
CA000000000000000207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine