Individual
ELIZABETH ANN CHANTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9333 GENESEE AVE STE 310, SAN DIEGO, CA 92121-2103
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95019022
CA
Other
Enumeration date
07/17/2009
Last updated
03/06/2025
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