Charugundla, Kanti

Charugundla, Kanti is an individual health care provider with primary practice located at 502 Torrance Blvd , Redondo Beach CA 90277-3413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Charugundla, Kanti can be contacted via phone (310) 316-0811.

Contact Information

Primary practice address
502 Torrance Blvd Redondo Beach CA 90277-3413
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18429 California

Profile Details

NPI number 1326153990
LBN Legal business name Charugundla, Kanti
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326153990 NPPES
California MEDICAID PA18429

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