Individual
DR. BRIDGET N. FAHY-CHANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A67122
CA
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
MD2013-0237
NM
2086X0206X
Surgical Oncology Physician
Primary
A67122
CA
2086X0206X
Surgical Oncology Physician
MD2013-0237
NM
208C00000X
Colon & Rectal Surgery Physician
M5153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187993402
—
TX
05
—
187993403
—
TX
01
—
8W1055
BLUE CROSS BLUE SHIELD
TX
01
—
P00427639
RAILROAD MEDICARE
TX
01
—
P01123931
RR MEDICARE
TX
Enumeration date
06/03/2006
Last updated
05/06/2026
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