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Organization
LIZA D CHAVEZ, MD., INC
Active
Organization
LIZA D CHAVEZ, MD., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA D CHAVEZ M.D. (MEDICAL DIRECTOR)
(562) 633-2204
Entity
Organization
Contact information
Practice address
3650 E. SOUTH ST, SUITE 308, LAKEWOOD, CA 90712-1405
(562) 633-2204
(562) 633-2579
Mailing address
PO BOX 14642, LONG BEACH, CA 90853-4642
(562) 633-2204
(562) 633-2579
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G76279
CA
Other
Enumeration date
10/06/2006
Last updated
09/29/2011
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