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Individual

DR. SHAHIN TISSA CHANDRASOMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 N STATE ST, ROOM 5900, LOS ANGELES, CA 90033-1029
(323) 226-7335
Mailing address
1200 N STATE ST, ROOM 5900, LOS ANGELES, CA 90033-1029
(323) 226-7335

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A95830
CA

Other

Enumeration date
02/18/2010
Last updated
02/18/2010
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