Provider Demographics
NPI:1689802530
Name:ARYASINGHA, CHAND JASEN (MD)
Entity type:Individual
Prefix:DR
First Name:CHAND
Middle Name:JASEN
Last Name:ARYASINGHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JASENTULIYANA
Other - Middle Name:CHANDRASHRI
Other - Last Name:ARYASINGHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3120 KINGRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-1027
Mailing Address - Country:US
Mailing Address - Phone:818-790-2327
Mailing Address - Fax:818-790-2327
Practice Address - Street 1:3120 KINGRIDGE WAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-1027
Practice Address - Country:US
Practice Address - Phone:818-790-2327
Practice Address - Fax:818-790-2327
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34127207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology