Individual
GREGORY CHAVARRIA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-1702
(310) 267-8678
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G81837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G818370
BLUE SHIELD
CA
05
—
00G818370
—
CA
Enumeration date
05/18/2006
Last updated
09/08/2023
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