Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARIE CHAVEZ M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(310) 569-4622
Entity
Organization
Contact information
Practice address
1041 ELKGROVE AVE, APARTMENT #4, VENICE, CA 90291-3191
(310) 569-4622
Mailing address
1041 ELKGROVE AVE, APT 4, VENICE, CA 90291-3191
(310) 569-4622
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
23411
CA
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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