Healthcare Provider Details

I. General information

NPI: 1912819194
Provider Name (Legal Business Name): CHELSEA WELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 CHURN CREEK RD STE B
REDDING CA
96002-2502
US

IV. Provider business mailing address

21943 HILLSIDE DR
PALO CEDRO CA
96073-8637
US

V. Phone/Fax

Practice location:
  • Phone: 530-524-0341
  • Fax:
Mailing address:
  • Phone: 530-524-0341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License NumberD4079285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: