Individual
CHANDNI VINAY RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5333 MISSION CENTER RD, SUITE #100, SAN DIEGO, CA 92108-1302
(619) 295-3355
Mailing address
2196 FENTON PKWY, APARTMENT 217, SAN DIEGO, CA 92108-4770
(623) 570-0595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53626
CA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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