Organization
R. NANDAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHU NANDAN MD (PRESIDENT)
(562) 272-7630
Entity
Organization
Contact information
Practice address
3650 SOUTH ST STE 212, LAKEWOOD, CA 90712-1528
(562) 272-7630
Mailing address
3650 SOUTH ST STE 212, LAKEWOOD, CA 90712-1528
(562) 272-7630
(562) 272-7631
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/12/2024
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