Provider Demographics
NPI:1073834180
Name:LEYKING, RANDALL WILLIAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:WILLIAM
Last Name:LEYKING
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
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Mailing Address - Street 1:21250 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5506
Mailing Address - Country:US
Mailing Address - Phone:310-540-1213
Mailing Address - Fax:310-540-7405
Practice Address - Street 1:21250 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5506
Practice Address - Country:US
Practice Address - Phone:310-540-1213
Practice Address - Fax:310-540-7405
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-13
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA#E4891213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery