Healthcare Provider Details

I. General information

NPI: 1841021284
Provider Name (Legal Business Name): CLAUDIA VALDIVIA-CHAVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 E SLAUSON AVE FL 2
COMMERCE CA
90040-2953
US

IV. Provider business mailing address

2707 S GRAND AVE
LOS ANGELES CA
90007-3300
US

V. Phone/Fax

Practice location:
  • Phone: 562-685-4987
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW69542
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: