Healthcare Provider Details

I. General information

NPI: 1699700492
Provider Name (Legal Business Name): FRANK C CANDELA M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 WOODLAKE AVE SUITE 380
WEST HILLS CA
91307-1468
US

IV. Provider business mailing address

7320 WOODLAKE AVE SUITE 380
WEST HILLS CA
91307-1468
US

V. Phone/Fax

Practice location:
  • Phone: 818-226-9030
  • Fax:
Mailing address:
  • Phone: 818-226-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG65923
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: