Provider Demographics
NPI:1306445101
Name:HUGGINS, CHLOE ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ANNE
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3763 URANUS AVE
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-1927
Mailing Address - Country:US
Mailing Address - Phone:805-757-8437
Mailing Address - Fax:
Practice Address - Street 1:9808 VENICE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6829
Practice Address - Country:US
Practice Address - Phone:310-513-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant