Chavez, Lea Monique
Chavez, Lea Monique is an individual health care provider with primary practice located at 510 S Vermont Ave # 21 , Los Angeles CA 90020-1992. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Chavez, Lea Monique can be contacted via phone (213) 351-2813.Contact Information
Primary practice address
510 S Vermont Ave # 21
Los Angeles CA 90020-1992
Phone: (213) 351-2813
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1497887467 |
|---|---|
| LBN Legal business name | Chavez, Lea Monique |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497887467 | NPPES |
| California | MEDICAID | 7068 | |
| California | MEDICAID | 7420 |
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