MEDICARE: LIVIU CHINDRIS MD, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154988111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVIU CHINDRIS MD, INC.

Provider Business Mailing Address
First Line	:	257 S DE LACEY AVE UNIT 4129
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-4504
Country	:	US
Telephone Number	:	424-346-3237
Fax Number	:

Provider Business Practice Location Address
First Line	:	257 S DE LACEY AVE UNIT 4129
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-4504
Country	:	US
Telephone Number	:	424-346-3237
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIVIU A CHINDRIS
Credential	:	MD
Telephone Number	:	424-346-3237

Provider Enumeration Date	:	05/24/2019
Last Update Date	:	07/22/2019

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