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NPI Code Detail

MEDICARE: CHELSEA ALEXANDRA HOPE

MEDICARE:   CHELSEA ALEXANDRA HOPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21223P0221XPediatric Dentistry107108CA

General Provider Information

NPI Number : 1134687700
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA ALEXANDRA HOPE
Provider Business Mailing Address
First Line : 18831 CYPRESS MOUNTAIN DR
Second Line :
City : SPRING
State : TX
Zip : 77388-5167
Country : US
Telephone Number : 713-202-2388
Fax Number :
Provider Business Practice Location Address
First Line : 4074 FAIRMOUNT AVE STE B
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-1608
Country : US
Telephone Number : 619-996-9543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2019
Last Update Date : 04/13/2022

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Directions to “ CHELSEA ALEXANDRA HOPE ” Practice Location

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