Provider Demographics
NPI:1730156472
Name:CHINDRIS, LIVIU A (MD)
Entity type:Individual
Prefix:DR
First Name:LIVIU
Middle Name:A
Last Name:CHINDRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N. BRAND BLVD
Mailing Address - Street 2:SUITE: 1400
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203
Mailing Address - Country:US
Mailing Address - Phone:818-855-2205
Mailing Address - Fax:818-855-8771
Practice Address - Street 1:80 W SIERRA MADRE BLVD
Practice Address - Street 2:# 352
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-2434
Practice Address - Country:US
Practice Address - Phone:310-480-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 45753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE74246Medicare UPIN