# CESAR T. CHAVEZ MD, INC.

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

## Provider details

- **NPI number:** 1730209966
- **Authorized official:** TERESA C CHAVEZ (OFFICE MANAGER)
- **Authorized official phone:** (858) 756-2944

## Contact information

- **Practice address:** 610 S 8TH ST, EL CENTRO, CA 92243-3215
- **Practice address phone:** (760) 335-3737
- **Practice address fax:** (760) 335-3662
- **Mailing address:** PO BOX 790, SOLANA BEACH, CA 92075-0790
- **Mailing address phone:** (858) 756-2944
- **Mailing address fax:** (858) 756-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G51615 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 01/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G516150 | — | CA |
| 05 | — | 00G516151 | — | CA |