Organization
JOHN R CHALISON MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R CHALISON MD (OWNER)
(213) 977-2121
Entity
Organization
Contact information
Practice address
616 WITMER ST, LOS ANGELES, CA 90017-2308
(213) 977-2121
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058510
—
CA
Enumeration date
06/02/2006
Last updated
05/11/2018
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