Individual
MICHAEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352
(818) 582-8832
(818) 582-8836
Mailing address
3561 BURTON AVE, LYNWOOD, CA 90262-4821
(310) 922-6265
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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