Provider Demographics
NPI:1326801226
Name:CHANDLER, NOLAN (ESQ)
Entity Type:Individual
Prefix:
First Name:NOLAN
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:ESQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31441 CONGRESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-6984
Mailing Address - Country:US
Mailing Address - Phone:951-288-9635
Mailing Address - Fax:
Practice Address - Street 1:31441 CONGRESSIONAL DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-6984
Practice Address - Country:US
Practice Address - Phone:951-288-9635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide