MEDICARE: ALEXANDER TARLOCHAN SANDHU MD

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	207RC0000X	Cardiovascular Disease Physician	A122224	CA
2	207R00000X	Internal Medicine Physician	A122224	CA
3	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	A122224	CA

General Provider Information

NPI Number	:	1821388869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER TARLOCHAN SANDHU MD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MEDICAL PLAZA
Second Line	:	SUITE 630
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-0001
Country	:	US
Telephone Number	:	310-825-9011
Fax Number	:	310-825-9012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	02/03/2026

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