Charleena Chagoya

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ontario, CA

NPI 1841669926 · NPPES record last updated Sep 18, 2015

Key facts

NPI
1841669926
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1556 S Sultana Ave
Ontario, CA 91761-4238
Phone
(909) 418-6923
Fax
(909) 418-6937
NPI assigned
Sep 18, 2015
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1556 S Sultana Ave
Ontario, CA 91761-4238

Mailing address

1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 418-6923

Other providers in Ontario, CA

All providers in Ontario, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.