Socal Dream's Rcfe

Specialty details in registry · Sun Valley, CA

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At a glance

11812 Randall St, Sun Valley, CA 91352-3846

NPPES record updated Oct 13, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

11812 Randall St
Sun Valley, CA 91352-3846
Professional details: NPI, taxonomy & registry record
NPI1639074172
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Oct 13, 2026
Record updated
Oct 13, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11812 Randall St
Sun Valley, CA 91352-3846
Phone
(818) 747-7017
Mailing address
11812 RANDALL ST

SUN VALLEY, CA 913523846
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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