Individual
CHANDELL BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S VERMONT AVE FL 20, LOS ANGELES, CA 90020-1912
(213) 738-4775
Mailing address
510 S VERMONT AVE FL 20, LOS ANGELES, CA 90020-1912
(213) 738-4775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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