Most Relevant Information
Provider Data
| NPI Number: | 1003519505 |
| Provider Name: | DIVYA MULCHANDANI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2023 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
1200 N STATE ST STE A7D
LOS ANGELES
CA
900891001
Practice Location Phone/Fax
| Phone: | 3234095707 |
| Fax: |
Provider Mailing Location
1200 N STATE ST STE A7D
LOS ANGELES
CA
900891001
Provider Mailing Phone/Fax
| Phone: | 3234095707 |
| Fax: |