Provider Demographics
NPI:1790038057
Name:CHHIBBER, DRUTIKA (MS, CRNA)
Entity Type:Individual
Prefix:
First Name:DRUTIKA
Middle Name:
Last Name:CHHIBBER
Suffix:
Gender:F
Credentials:MS, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W CARSON ST
Mailing Address - Street 2:BOX 10
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:310-222-3472
Mailing Address - Fax:310-782-1467
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:BOX 10
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-3472
Practice Address - Fax:310-782-1467
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA652915163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse