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General NPI Number Information
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NPI Number | 1487503967
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Entity Type | Organization
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Legal Business Name | CHANDRASOMA SURGICAL, INC.
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 950 S ARROYO PKWY FL 2
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City | PASADENA
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State | CA
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Zip | 91105-3931
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Country | US
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Telephone | 213-280-5990
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Fax |
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Provider Business Mailing Address
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Address Line | 556 S FAIR OAKS AVE STE 101-340
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City | PASADENA
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State | CA
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Zip | 91105-2656
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Country | US
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Telephone | 213-280-5990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | DR. SHAHIN CHANDRASOMA SHAHIN CHANDRASOMA
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Credential | MD
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Telephone | 213-280-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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