Organization
CHAVEZ MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN G CHAVEZ MD (PRESIDENT/CEO)
(559) 840-0066
Entity
Organization
Contact information
Practice address
5260 N PALM AVE STE 201, FRESNO, CA 93704-2217
(559) 840-0066
(559) 272-0479
Mailing address
5260 N PALM AVE STE 201, FRESNO, CA 93704-2217
(559) 840-0066
(559) 272-0479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A67620
CA
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A676201
—
CA
Enumeration date
02/13/2012
Last updated
12/19/2022
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