Healthcare Provider Details

I. General information

NPI: 1518159375
Provider Name (Legal Business Name): MR. LAJPAT R CHOWDHRY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 08/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WEST WOOD PLAZA SUITE#371
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

221 WEST WOOD PLAZA SUITE#371
LOS ANGELES CA
90095-0001
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-4981
  • Fax: 310-206-3070
Mailing address:
  • Phone: 310-825-4981
  • Fax: 310-206-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberCPT1071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: