Provider Demographics
NPI:1023258910
Name:PILON, RANDI V (OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:V
Last Name:PILON
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4148 W DELTA AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-4054
Mailing Address - Country:US
Mailing Address - Phone:559-372-7171
Mailing Address - Fax:559-627-3284
Practice Address - Street 1:1827 S COURT ST
Practice Address - Street 2:SUITE C
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5469
Practice Address - Country:US
Practice Address - Phone:559-627-3274
Practice Address - Fax:559-627-3284
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 8548174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist