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NPI Code Detail

MEDICARE: ARIANA CHAVEZ

MEDICARE: ARIANA CHAVEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1942877246
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANA CHAVEZ
Provider Business Mailing Address
First Line : 26689 SPRING ST
Second Line :
City : PERRIS
State : CA
Zip : 92570-9618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 32326 CLINTON KEITH RD STE 201
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-7317
Country : US
Telephone Number : 858-264-5858
Fax Number : 858-649-6012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 06/07/2021

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Directions to “ ARIANA CHAVEZ ” Practice Location

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