Individual
ANGEL CHAVIRA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
301 S LA CADENA DR, COLTON, CA 92324-3419
(909) 219-5260
Mailing address
13220 WILD SAGE LN, MORENO VALLEY, CA 92555-4531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95036766
CA
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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