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General NPI Number Information
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NPI Number | 1659177442
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Entity Type | Individual
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Provider Name | IVONNE SOFIA CHICHIL
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 17337 VENTURA BLVD STE 220
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City | ENCINO
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State | CA
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Zip | 91316-4039
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Country | US
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Telephone | 714-363-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 9832 BEACHY AVE
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City | ARLETA
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State | CA
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Zip | 91331-5205
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Country | US
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Telephone | 818-264-9670
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9385
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License Number State | CA
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