Provider Demographics
NPI:1811708985
Name:CHAVEZ-ARIAS, MARISOL (MS, HCI)
Entity type:Individual
Prefix:
First Name:MARISOL
Middle Name:
Last Name:CHAVEZ-ARIAS
Suffix:
Gender:F
Credentials:MS, HCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37844 HALIFAX ST
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-7016
Mailing Address - Country:US
Mailing Address - Phone:818-423-9226
Mailing Address - Fax:
Practice Address - Street 1:37844 HALIFAX ST
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7016
Practice Address - Country:US
Practice Address - Phone:818-423-9226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMPSS-UTAWJD175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist