Healthcare Provider Details

I. General information

NPI: 1225049356
Provider Name (Legal Business Name): RAMA E CHANDRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD STE 310
TORRANCE CA
90503-4533
US

IV. Provider business mailing address

4477 W 118TH ST STE 402
HAWTHORNE CA
90250-2259
US

V. Phone/Fax

Practice location:
  • Phone: 310-644-1151
  • Fax: 310-644-3115
Mailing address:
  • Phone: 310-644-1151
  • Fax: 310-644-3115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA32401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: