Individual
CHANDRESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(213) 253-5147
(213) 253-5041
Mailing address
2823 ECKLESON ST, LAKEWOOD, CA 90712-2930
(562) 602-2917
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
023794
GA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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