Individual ProviderSuzette Aronade ChafeyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Medical Plaza, #365, Los Angeles, CA 90095-3075(310) 825-0631(310) 825-4321PECOS EnrollmentBased on the most recent information from CMS, provider Suzette Aronade Chafey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1619901998Provider TypeIndividualFull NameChafey, Suzette AronadeCredentialNPGenderFemaleSole ProprietorNoEnumeration Date7/10/2006Last Updated6/9/2010Contact InformationPractice LocationPractice Address200 Medical Plaza, #365, Los Angeles, CA 90095-3075Phone(310) 825-0631FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632Phone(310) 825-4321FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP161CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseNP161CaliforniaProvider IdentifiersIDDescriptionIssuerID00NP16100DescriptionMedicaidIssuerUnlistedCalifornia