Individual
EKATERINE K CHIRADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A .
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4167
(818) 885-3587
(818) 700-2382
Mailing address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4167
(818) 885-3587
(818) 700-2382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19548
LICENSE
CA
Enumeration date
03/31/2008
Last updated
04/13/2026
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