CHRYSALIS HEALTH OF CALIFORNIA, PC
NPI 1407324379
Internal Medicine - Endocrinology, Diabetes & Metabolism in Los Angeles, CA

Active since November 08, 2018
4470 W SUNSET BLVD # 92709, LOS ANGELES, CA 90027(424) 334-9213 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2021, Nov 8, 2018 (2 updates tracked since 2018).

About Chrysalis Health Of California, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS HEALTH OF CALIFORNIA, PC (NPI 1407324379) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Los Angeles, California and active in the NPI registry since November 2018. The organization lists Marina Tarasova, Coo, as its authorized official.

NPPES Registry Identity

NPI1407324379
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameCHRYSALIS HEALTH OF CALIFORNIA, PC
Location Address4470 W SUNSET BLVD # 92709Los Angeles, CA 90027-6302
Mailing Address136 E 76th St Apt 8fNew York, NY 10021-2831 · (434) 248-7508
Organization SubpartNo
Authorized OfficialMarina TarasovaCoo · (847) 809-6796
Enumeration DateNovember 8, 2018
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1407324379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4470 W SUNSET BLVD # 92709, Los Angeles, CA 90027

Other Identifiers 1

Medicaid1104823954CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Health Of California, PC's NPI number?

The NPI number for Chrysalis Health Of California, PC is 1407324379. It was assigned to this organization in the NPPES registry on November 8, 2018.

Where is Chrysalis Health Of California, PC located?

Chrysalis Health Of California, PC is located at 4470 W Sunset Blvd # 92709, Los Angeles, CA 90027. The listed phone number is (424) 334-9213.

What is Chrysalis Health Of California, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Chrysalis Health Of California, PC was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.