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NPI Code Detail

MEDICARE: MIGUEL CHAVEZ BA

MEDICARE: MIGUEL 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
1106H00000XMarriage & Family Therapist143048CA

General Provider Information

NPI Number : 1831840149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL CHAVEZ BA
Provider Business Mailing Address
First Line : 14515 HAMLIN ST STE 200
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-1694
Country : US
Telephone Number : 818-898-0223
Fax Number : 818-780-0617
Provider Business Practice Location Address
First Line : 14515 HAMLIN ST STE 200
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-1694
Country : US
Telephone Number : 818-898-0223
Fax Number : 818-780-0617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2022
Last Update Date : 12/09/2025

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Directions to “ MIGUEL CHAVEZ BA” Practice Location

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