Healthcare Provider Details

I. General information

NPI: 1477434355
Provider Name (Legal Business Name): CHIME HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21250 HAWTHORNE BLVD STE 500
TORRANCE CA
90503-5514
US

IV. Provider business mailing address

21250 HAWTHORNE BLVD STE 500
TORRANCE CA
90503-5514
US

V. Phone/Fax

Practice location:
  • Phone: 212-139-0783
  • Fax: 213-684-5843
Mailing address:
  • Phone: 213-907-8303
  • Fax: 213-684-5843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REVMAX TECHNOLOGIES
Title or Position: BILLING COMPANY
Credential:
Phone: 720-784-9413