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NPI Code Detail

MEDICARE: CHANDRASOMA SURGICAL INC

MEDICARE: CHANDRASOMA SURGICAL 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
1208800000XUrology Physician

General Provider Information

NPI Number : 1487503967
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANDRASOMA SURGICAL INC
Provider Business Mailing Address
First Line : 556 S FAIR OAKS AVE STE 101-340
Second Line :
City : PASADENA
State : CA
Zip : 91105-2656
Country : US
Telephone Number : 626-659-8170
Fax Number : 626-659-8171
Provider Business Practice Location Address
First Line : 950 S ARROYO PKWY STE 250
Second Line :
City : PASADENA
State : CA
Zip : 91105-3930
Country : US
Telephone Number : 626-659-8170
Fax Number : 626-659-8171
Authorized Official
Title or Position : PRESIDENT AND OWNER
Name : DR. SHAHIN CHANDRASOMA SHAHIN CHANDRASOMA
Credential : MD
Telephone Number : 626-659-8170
Provider Enumeration Date : 01/27/2026
Last Update Date : 04/24/2026

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Directions to “CHANDRASOMA SURGICAL INC ” Practice Location

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