Chad Ebesutani

NPI 1215186556 · on the registry since 2008 · sole proprietor

Practice

Address: 1000 Veteran Ave
Los Angeles, CA 90024
Phone: (310) 825-3301
Organisation at this address: Regents Univ Of Calif Los Angeles
Regents Of The University Of California
Regents University Of California Los Angeles
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 86

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California