CHANEL BOAL
NPI 1073089744
Student in an Organized Health Care Education/Training Program in San Dimas, CA

Active since October 19, 2018
762 CYPRESS ST, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Oct 19, 2018 (2 updates tracked since 2018).

About Chanel Boal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANEL BOAL (NPI 1073089744) is an individual student in an organized health care education/training program in San Dimas, California and active in the NPI registry since October 2018. She maintains a secondary practice location in Rancho Cucamonga.

NPPES Registry Identity

NPI1073089744
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHANEL BOAL
Location Address762 CYPRESS STSan Dimas, CA 91773-3505
Mailing Address762 Cypress StSan Dimas, CA 91773-3505 · (909) 599-1227
Sole ProprietorYes
Enumeration DateOctober 19, 2018
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1073089744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
762 CYPRESS ST, San Dimas, CA 91773

Secondary Practice Location 1

Location 19500 Haven Ave Ste 100Rancho Cucamonga, CA 91730-5871 · Phone (909) 980-6700

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Counselor
762 CYPRESS ST
SAN DIMAS, CA 91773
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Adult Companion
762 CYPRESS ST
SAN DIMAS, CA 91773
Counselor (Mental Health)
762 CYPRESS ST
SAN DIMAS, CA 91773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanel Boal's NPI number?

The NPI number for Chanel Boal is 1073089744. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Chanel Boal located?

Chanel Boal practices at 762 Cypress St, San Dimas, CA 91773. The listed phone number is (909) 599-1227.

What is Chanel Boal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Chanel Boal was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.