Organization
ANDREW CHACON MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW C CHACON (MD PRESIDENT)
(714) 347-1010
Entity
Organization
Contact information
Practice address
27882 FORBES RD # 208, LAGUNA NIGUEL, CA 92677-1267
(949) 347-2400
(949) 347-2424
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A74564
CA
Other
Enumeration date
12/16/2013
Last updated
05/05/2017
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