Individual
CHRISTIAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11144 SAN PASQUAL AVE, MONTCLAIR, CA 91763-6339
(909) 740-3215
Mailing address
11144 SAN PASQUAL AVE, MONTCLAIR, CA 91763-6339
(909) 740-3215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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