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General NPI Number Information
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NPI Number | 1427875749
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Entity Type | Organization
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Legal Business Name | FLINTRIDGE SURGICAL SOLUTIONS
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1703 VERDUGO BLVD
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011-3014
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Country | US
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Telephone | 818-590-5409
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 VERDUGO BLVD
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011-3014
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. KRIS MANCHANDIA
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Credential | MD
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Telephone | 818-590-5409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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