Individual
CHANDANI NANAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8643 FARMHOUSE LN, RIVERSIDE, CA 92508-7122
(951) 801-0954
Mailing address
8643 FARMHOUSE LN, RIVERSIDE, CA 92508-7122
(951) 801-0954
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13705
CA
Other
Enumeration date
06/20/2009
Last updated
12/07/2021
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