Individual
CHELLETTE MONIQUE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 S VERMONT AVE FL 1, LOS ANGELES, CA 90044-3493
(323) 525-6400
Mailing address
8300 S VERMONT AVE FL 1, LOS ANGELES, CA 90044-3493
(323) 525-6400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/13/2023
Last updated
05/12/2025
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