Provider Demographics
NPI:1639698491
Name:CHAVEZ, ADRIAN ALEJANDRO (BA)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:ALEJANDRO
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W SUNSET BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5861
Mailing Address - Country:US
Mailing Address - Phone:323-361-7512
Mailing Address - Fax:
Practice Address - Street 1:5000 SUNSET BLVD, 5TH FLOOR
Practice Address - Street 2:DIVISION OF ADOLESCENT AND YOUNG ADULT MEDICINE, #2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-361-7512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator