MEDICARE: MS. CLAUDIA BARROSO CHAVEZ BA

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1699801993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAUDIA BARROSO CHAVEZ BA

Provider Business Mailing Address
First Line	:	2420 TERMINO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1723
Country	:	US
Telephone Number	:	310-753-4133
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 TERMINO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1723
Country	:	US
Telephone Number	:	310-753-4133
Fax Number	:

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	05/16/2013

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