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NPI Code Detail

MEDICARE: ALEXIS CHAIJ

MEDICARE: ALEXIS CHAIJ
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
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1982277620
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS CHAIJ
Provider Business Mailing Address
First Line : 11236 TERRA VISTA PKWY APT 62
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6767
Country : US
Telephone Number : 909-973-1927
Fax Number :
Provider Business Practice Location Address
First Line : 1717 W MERCED AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3406
Country : US
Telephone Number : 626-960-3052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 04/07/2025

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Directions to “ ALEXIS CHAIJ ” Practice Location

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