Healthcare Provider Details
I. General information
NPI: 1023341583
Provider Name (Legal Business Name): RISHMA CHAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/15/2009
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES CA
90095-1707
US
IV. Provider business mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US
V. Phone/Fax
- Phone: 310-825-0867
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NC2000X |
| Taxonomy | Children's Hospital |
| License Number | 254847 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | A109582 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: