Individual
SUKANTHA CHANDRASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, D(ABMM)
Contact information
Practice address
11633 SAN VICENTE BLVD, LOS ANGELES, CA 90049-6511
(310) 794-2722
Mailing address
11633 SAN VICENTE BLVD, LOS ANGELES, CA 90049-6511
(310) 794-2722
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
01015390
CA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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