Healthcare Provider Details

I. General information

NPI: 1427975218
Provider Name (Legal Business Name): DIVYA SACHDEV, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 PCH HWY STE 305
HERMOSA BEACH CA
90254-2702
US

IV. Provider business mailing address

2200 PCH HWY STE 305
HERMOSA BEACH CA
90254-2702
US

V. Phone/Fax

Practice location:
  • Phone: 213-359-6393
  • Fax:
Mailing address:
  • Phone: 213-359-6393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DIVYA SACHDEV
Title or Position: PHYSICIAN
Credential: MD
Phone: 213-359-6393