Provider Demographics
NPI:1477347920
Name:CHINCHILLA, KAREN STEFFY
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:STEFFY
Last Name:CHINCHILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21041 PARTHENIA ST UNIT 368
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-6239
Mailing Address - Country:US
Mailing Address - Phone:661-974-9055
Mailing Address - Fax:
Practice Address - Street 1:1672 CASARIN AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-4515
Practice Address - Country:US
Practice Address - Phone:805-522-4891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner