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Individual

CHANDRA N SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-3724
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
A89112
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A89112
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A891120
CA
Enumeration date
07/16/2008
Last updated
08/16/2019
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