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1104148014
SHAHIN TISSA CHANDRASOMA
LOS ANGELES, CA
NPI
1104148014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: CA A95830)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
Dr. SHAHIN TISSA CHANDRASOMA MD
1200 N STATE ST ROOM 5900
LOS ANGELES, CA 90033-1029
Phone number: 323-226-7335
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Mailing Address
Dr. SHAHIN TISSA CHANDRASOMA MD
1200 N STATE ST ROOM 5900
LOS ANGELES, CA 90033-1029
Phone number: 323-226-7335
Copy
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