Individual
ALEJANDRO VICENTE CHAVEZ SUCHILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1968 W ADAMS BLVD # 106, LOS ANGELES, CA 90018-3515
(323) 731-3534
(323) 731-5618
Mailing address
1968 W ADAMS BLVD # 106, LOS ANGELES, CA 90018-3515
(323) 731-3534
(323) 731-5618
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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