Individual
ALEC CHANDLER MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9201 W SUNSET BLVD STE 812, WEST HOLLYWOOD, CA 90069-3709
(310) 550-1010
Mailing address
1031 N CRESCENT HEIGHTS BLVD APT 1F, WEST HOLLYWOOD, CA 90046-6065
(859) 321-5895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58889
CA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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