Provider Information for 1447825591
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
AUTUMN KIANA CHAMBERS
Sex: Female
NPI: 1447825591
Last Updated: 2024-12-26
Certification Date: 2024-12-26
Certification Date: 2024-12-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447825591 | ||||||||||||
| Enumeration Date | 2021-05-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 44055 47TH ST W LANCASTER, CA 93536-2366 United States Phone: 661-202-2010 | Fax: | ||||||||||||
| Primary Practice Address | 42455 10TH ST W STE 103 LANCASTER, CA 93534-7060 United States Phone: 562-228-7180 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 43520 DIVISION ST 23824 HAWTHORNE BLVD STE 200 | ||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|