Provider Demographics
NPI:1164645172
Name:CHANDLER, CHRISTINE CHAIREZ (RNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CHAIREZ
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 W SUNSET BL
Mailing Address - Street 2:STE 650
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3204
Mailing Address - Country:US
Mailing Address - Phone:213-484-1186
Mailing Address - Fax:213-413-3443
Practice Address - Street 1:3624 MARTIN LUTHER KING JR BL
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2607
Practice Address - Country:US
Practice Address - Phone:310-223-1035
Practice Address - Fax:310-638-9080
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347915363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health