Individual
CHETNA GANGWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2601 W ALAMEDA AVE, SUITE 111, BURBANK, CA 91505-4800
(818) 295-5920
(818) 295-6965
Mailing address
777 FLOWER ST, SUITE A, GLENDALE, CA 91201-3015
(818) 637-2000
(818) 242-8761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 16835
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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