MEDICARE: PANIZ CHAVOL PA-C

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
1	363A00000X	Physician Assistant		CA

General Provider Information

NPI Number	:	1689532558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PANIZ CHAVOL PA-C

Provider Business Mailing Address
First Line	:	22287 MULHOLLAND HWY
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22287 MULHOLLAND HWY
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5157
Country	:	US
Telephone Number	:	818-964-1048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ PANIZ CHAVOL PA-C” Practice Location

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