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Organization
SCINTADEL HEALTHCARE, INC.
Active
Organization
SCINTADEL HEALTHCARE, INC.
Active
Other names
Scintadel Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY CHANDRAN MD (CEO)
(213) 422-6853
Entity
Organization
Contact information
Practice address
5675 WEST OLYMPIC BLVD., LOS ANGELES, CA 90036
(213) 422-6853
Mailing address
2324 LILLYVALE AVE APT 143, LOS ANGELES, CA 90032-3580
(213) 422-6853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
NULL
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/09/2023
Last updated
05/17/2023
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