# LIZA D CHAVEZ, MD., INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710074257
- **Authorized official:** DR. LIZA D CHAVEZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 633-2204

## Contact information

- **Practice address:** 3650 E. SOUTH ST, SUITE 308, LAKEWOOD, CA 90712-1405
- **Practice address phone:** (562) 633-2204
- **Practice address fax:** (562) 633-2579
- **Mailing address:** PO BOX 14642, LONG BEACH, CA 90853-4642
- **Mailing address phone:** (562) 633-2204
- **Mailing address fax:** (562) 633-2579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G76279 | CA | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 09/29/2011