Organization
USC SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARA CHANDRASOMA MD (DIRECTOR)
(323) 226-4616
Entity
Organization
Contact information
Practice address
1675 AMBERWOOD DR, APT 20, SOUTH PASADENA, CA 91030-1958
(323) 646-6807
Mailing address
1675 AMBERWOOD DR, APT 20, SOUTH PASADENA, CA 91030-1958
(323) 646-6807
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A86623
CA
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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