Healthcare Provider Details

I. General information

NPI: 1851210033
Provider Name (Legal Business Name): APHRODITE LOU C CHAVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S FREMONT AVE
ALHAMBRA CA
91803-8800
US

IV. Provider business mailing address

1000 S FREMONT AVE
ALHAMBRA CA
91803-8800
US

V. Phone/Fax

Practice location:
  • Phone: 626-299-3547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number712397
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: