Provider Demographics
NPI:1447278908
Name:CHAHEEN, MERIAM (LAC)
Entity type:Individual
Prefix:
First Name:MERIAM
Middle Name:
Last Name:CHAHEEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:5844 CAPE HORN DR
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1402
Mailing Address - Country:US
Mailing Address - Phone:818-865-8344
Mailing Address - Fax:818-995-3140
Practice Address - Street 1:30200 AGOURA RD
Practice Address - Street 2:130
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-5434
Practice Address - Country:US
Practice Address - Phone:818-889-5572
Practice Address - Fax:818-889-7368
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2015-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 10897171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist