Provider Demographics
NPI:1801435508
Name:LIVIU CHINDRIS MD INC
Entity type:Organization
Organization Name:LIVIU CHINDRIS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAGANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-414-4222
Mailing Address - Street 1:14860 ROSCOE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4683
Mailing Address - Country:US
Mailing Address - Phone:424-346-3237
Mailing Address - Fax:310-498-1676
Practice Address - Street 1:14860 ROSCOE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4683
Practice Address - Country:US
Practice Address - Phone:424-346-3237
Practice Address - Fax:310-498-1676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty