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Individual

MR. JOHN CHALISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 S ALVARADO ST, #825, LOS ANGELES, CA 90057-2320
(213) 484-2044
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
G37835
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G378350
CA
Enumeration date
06/06/2006
Last updated
03/14/2012
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