Smart, Chandra N
Smart, Chandra N is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Smart, Chandra N can be contacted via phone (310) 825-3724.Contact Information
Primary practice address
10833 Le Conte Ave
Los Angeles CA 90095-3075
Phone: (310) 825-3724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | A89112 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A89112 | California |
Profile Details
| NPI number | 1174787485 |
|---|---|
| LBN Legal business name | Smart, Chandra N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Aug 16th, 2019 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174787485 | NPPES |
| California | MEDICAID | 00A891120 |
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