Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 246386 | MA |
Y | 207X00000X | Orthopaedic Surgeon | A97423 | CA |
NPI | 1023205077 |
---|---|
Provider Name | Shaun E Chandran |
First Address | Hawthorne, CA 90250-2259 |
Second Address | Hawthorne, CA 90250-2259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 29/06/2012 |