Individual
ALITIA KANDASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4667
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A162869
CA
Other
Enumeration date
06/14/2015
Last updated
05/03/2022
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