Provider Demographics
NPI:1609199207
Name:CHAND, ROMIL
Entity type:Individual
Prefix:
First Name:ROMIL
Middle Name:
Last Name:CHAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 IMPERIAL HWY
Mailing Address - Street 2:APT.#E223
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3243
Mailing Address - Country:US
Mailing Address - Phone:917-279-2581
Mailing Address - Fax:
Practice Address - Street 1:433 N 4TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4311
Practice Address - Country:US
Practice Address - Phone:323-722-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 16606235Z00000X
NY017126235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist