Chavez, Angela Tilatha

Chavez, Angela Tilatha is an individual health care provider with primary practice located at 4139 El Camino Way , Palo Alto CA 94306-4010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Chavez, Angela Tilatha can be contacted via phone (650) 999-7069.

Contact Information

Primary practice address
4139 El Camino Way Palo Alto CA 94306-4010
Phone: (650) 999-7069
Fax: (408) 642-6052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1346528106 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1497314025
LBN Legal business name Chavez, Angela Tilatha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Apr 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497314025 NPPES
California MEDICAID 1346528106

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