Individual
DR. RICK CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 N PROSPECT AVE, SUITE 209, REDONDO BEACH, CA 90277-3028
(310) 798-1633
(310) 374-1576
Mailing address
510 N PROSPECT AVE, SUITE 209, REDONDO BEACH, CA 90277-3028
(310) 798-1633
(310) 374-1576
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
G43878
CA
208VP0014X
Interventional Pain Medicine Physician
G43878
CA
Other
Enumeration date
05/12/2006
Last updated
08/08/2011
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