Individual
DEEPAK N CHANDWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST # A108, LOMA LINDA, CA 92354-2804
(909) 558-3111
Mailing address
FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A93350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A933500
—
CA
Enumeration date
06/16/2006
Last updated
01/28/2009
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