Eddie Chavira Cervantes
Peer Specialist in Palmdale, CA. Individual provider (NPI-1).
NPI number1467366161
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1467366161
- Entity type
- Individual (NPI-1)
- Name
- Eddie Chavira Cervantes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2026
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-PTJQHD | CA | Yes |
Practice location
320 E Palmdale BlvdPalmdale, CA 93550-4598
Phone 818-996-1051
Mailing address
1030 Lightcap StLancaster, CA 93535-2771
Phone 818-996-1051
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All 19 Peer Specialist providers in Palmdale · All 2,795 providers in Palmdale
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