Individual
NATHASH S. KALLICHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 303-6970
(310) 698-7054
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A88370
CA
207ZP0101X
Anatomic Pathology Physician
Primary
A88370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902067507
—
CA
01
—
A88370
MEDICAL LICENSE
CA
Enumeration date
06/17/2008
Last updated
01/27/2016
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