CHANA IVY CHANTAWANSRI CHIN

LOS ANGELES, CA
NPI1033457270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A112215)
Enumeration Date2013-01-23
Last Update Date2013-01-23
Business Address
-- CHANA IVY CHANTAWANSRI CHIN MD
4650 SUNSET BOULEVARD #83 150
LOS ANGELES, CA 90027
Phone number: 323-361-2120
Mailing Address
-- CHANA IVY CHANTAWANSRI CHIN MD
4550 COLDWATER CANYON 204
STUDIO CITY, CA 91604
Phone number: 818-383-8065
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