Basic Information
Provider Information
NPI: 1790816098
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OCHOA
FirstName: CLAUDIA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12815 HERRICK AVE
Address2:  
City: SYLMAR
State: CA
PostalCode: 913424037
CountryCode: US
TelephoneNumber: 8183628492
FaxNumber:  
Practice Location
Address1: 14624 SHERMAN WAY STE 508
Address2:  
City: VAN NUYS
State: CA
PostalCode: 914052289
CountryCode: US
TelephoneNumber: 8189014990
FaxNumber: 8189973138
Other Information
ProviderEnumerationDate: 03/08/2007
LastUpdateDate: 01/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XASW73310CAN Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041C0700XLCSW99321CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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