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NPI Code Detail

MEDICARE: CRYSTAL EVANJELINA CHIGUILA RADT

MEDICARE: CRYSTAL EVANJELINA CHIGUILA RADT
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
1101YA0400XAddiction (Substance Use Disorder) CounselorRH0015380525CA

General Provider Information

NPI Number : 1437773793
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL EVANJELINA CHIGUILA RADT
Provider Business Mailing Address
First Line : 14530 SYLVAN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-582-8832
Fax Number :
Provider Business Practice Location Address
First Line : 14530 SYLVAN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-582-8832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 03/30/2026

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Directions to “ CRYSTAL EVANJELINA CHIGUILA RADT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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