Organization
LAILA E. CHANDY, M.D., PROF. COPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAILA E CHANDY M.D. (CEO)
(530) 589-4305
Entity
Organization
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 589-4305
(530) 589-3965
Mailing address
2767 OLIVE HWY, P O BOX 809, OROVILLE, CA 95966-6118
(530) 589-4305
(530) 589-3965
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
00A416170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A416170
—
CA
01
—
O5D1022410
CLIA
CA
Enumeration date
11/21/2007
Last updated
11/21/2007
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