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Specialty details in registry · Chatsworth, CA

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At a glance

21757 Devonshire St Ste 9, Chatsworth, CA 91311-2965

NPPES record updated Feb 13, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

21757 Devonshire St Ste 9
Chatsworth, CA 91311-2965
Professional details: NPI, taxonomy & registry record
NPI1629775382
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251E00000X
Enumeration date
Feb 13, 2023
Record updated
Feb 13, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

21757 Devonshire St Ste 9
Chatsworth, CA 91311-2965
Phone
(747) 214-6284
Mailing address
21757 DEVONSHIRE ST STE 9

CHATSWORTH, CA 913112965
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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