Eloisa Chavez
Individual provider Active NPI Case Manager/Care Coordinator · La Puente, CA
NPI 1124142732 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124142732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- NONE100 (CA)
- Practice address
- 160 S 7TH Ave
La Puente, CA 91746-3211 - Phone
- (626) 961-8971
- Fax
- (626) 961-6685
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE100 | CA | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NONE100 | CA | Yes |
Addresses
Primary practice location
160 S 7TH Ave
La Puente, CA 91746-3211
Mailing address
160 S 7TH Ave
La Puente, CA 91746-3211
Phone (626) 961-8971
Other providers in La Puente, CA
- Jennie Ceniceros
- Central City Community Health Center Inc
- Chan, Chan, Chen & Luu, DDS, Inc.
- Kingman Chan
- Chanukya Dasari MD a Professional Corporation
- Che Investment Enterprises Inc
- Peter Chen
- Shu Chen Chen
- Tiffany CHI
- Joshua Chia
All providers in La Puente, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.