MEDICARE: KANDU MEDICAL SERVICES EAST CHARTERED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	152W00000X	Optometrist
2	2084N0400X	Neurology Physician
3	225X00000X	Occupational Therapist
4	103G00000X	Clinical Neuropsychologist
5	208D00000X	General Practice Physician
6	1041C0700X	Clinical Social Worker
7	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1801657648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANDU MEDICAL SERVICES EAST CHARTERED

Provider Business Mailing Address
First Line	:	7033 HAYVENHURST AVE STE A
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-3802
Country	:	US
Telephone Number	:	833-526-3848
Fax Number	:

Provider Business Practice Location Address
First Line	:	7033 HAYVENHURST AVE STE A
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-3802
Country	:	US
Telephone Number	:	833-526-3848
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & MEDICAL DIRECTOR
Name	:	NANCEY TREVANIAN TSAI
Credential	:	MD
Telephone Number	:	833-526-3848

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	02/18/2026

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