Organization
DEEPTI H. CHANDRAN, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPTI CHANDRAN M.D. (OWNER)
(310) 832-3311
Entity
Organization
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 987-1957
Mailing address
1379 W PARK WESTERN DR, SAN PEDRO, CA 90732-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A102589
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
A102589
CA
Other
Enumeration date
02/09/2017
Last updated
12/19/2021
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